| NPI | 1174847032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD R. KEEN President 630-575-8789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: IL 036-074094) |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2010-03-23 |