| NPI | 1588917322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LEE WORTHINGTON-KIRSCH Physician 630-725-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 202K00000X Phlebology (Licence: CA G88795) |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2012-10-17 |