| NPI | 1275645590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J VERTA President 847-205-0050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: IL 036046050) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |