| NPI | 1154477990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES G. WRIGHT President 630-322-9126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 202K00000X Phlebology |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2019-10-25 |