| NPI | 1750767745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCIS R FACCHINI Treasurer 630-856-7460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2018-03-29 |