| NPI | 1164704805 |
|---|---|
| Former Legal Business Name | MIDAMERICA HEART AND VASCULAR ASSOCIATES SC |
| Entity Type | Organization |
| Authorized Contact | JILL SCALZO COO 708-741-4405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2014-01-09 |