| NPI | 1770080327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAKESH WAHI Surgeon 815-621-6182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2018-04-10 |