| NPI | 1154972248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORENA ESPARZA Revenue Cycle Manager 630-725-2764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Additional Taxonomies | 202K00000X Phlebology |
| 208600000X Surgery | |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2019-09-20 |