| NPI | 1215188867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA JONES Credentialing 630-725-2737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: TX E4384) |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2022-02-08 |