| NPI | 1295780492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN AMORUSO Sr VP Revenue 847-593-8460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery |
| 202K00000X | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2023-05-04 |