| NPI | 1811626344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIC TOLITANO Practice Owner 847-590-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2022-06-09 |
| Last Update Date | 2022-06-09 |