| NPI | 1730583261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER MCDONNELL Md 708-923-6444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: IL 036079089) |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2014-10-13 |