| NPI | 1881960920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORA KATSNELSON Owner 847-593-8616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2012-09-13 |