| NPI | 1588704688 |
|---|---|
| Former Legal Business Name | LASER VEIN CLINIC, LLC |
| Entity Type | Organization |
| Authorized Contact | ALVARO MONTOYA Owner President 312-567-2440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2022-07-21 |