| NPI | 1962283887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN PETRIE VP Of Rcm 708-498-4493 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Additional Taxonomies | 2086S0129X Surgery Vascular Surgery |
| Enumeration Date | 2023-10-06 |
| Last Update Date | 2024-04-04 |