| NPI | 1144629460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHUSHAL PATL Owner 773-672-2553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: IL 036.124097) |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2014-08-22 |