| NPI | 1932155389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA JONES Credentialing 630-725-2737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Additional Taxonomies | 202K00000X |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 208600000X Surgery | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2022-02-21 |