NPI | 1407484645 |
---|---|
Doing Business As | ADVANCED VEIN CENTER |
Entity Type | Organization |
Authorized Contact | MARK MACUMBER Owner 773-220-0376 |
Organization Subpart ? | No |
Primary Taxonomy | 202K00000X |
Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
Enumeration Date | 2020-04-01 |
Last Update Date | 2022-11-28 |