| NPI | 1831353879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA JONES Credentialing 630-725-2737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0129X |
| 202K00000X Phlebology | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2022-02-08 |