| NPI | 1750085445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN PETRIE VP Of Revenue Cycle Management 708-289-4757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2024-04-04 |