| NPI | 1144266008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN AMORUSO Sr VP Revenue 847-593-8460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0129X |
| 202K00000X Phlebology | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2023-05-04 |