| NPI | 1598946543 |
|---|---|
| Doing Business As | ST. MARY'S VASCULAR AND THORACIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | KAREN S CLARK CFO 815-673-4514 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: IL 036078501) |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2009-05-13 |