NPI | 1831604081 |
---|---|
Entity Type | Organization |
Authorized Contact | NATHAN AMORUSO Sr VP Revenue 847-593-8460 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery |
Additional Taxonomies | 202K00000X |
2085R0204X Radiology, Vascular & Interventional Radiology | |
2086S0129X Surgery, Vascular Surgery | |
Enumeration Date | 2017-12-11 |
Last Update Date | 2023-05-04 |