| NPI | 1174995674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAN KATSNELSON Director 847-593-8460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2015-10-22 |