| NPI | 1962508853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN AMORUSO Sr VP Revenue 847-593-8460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 202K00000X Phlebology |
| 2085R0204X Radiology Vascular & Interventional Radiology | |
| 2086S0129X Surgery Vascular Surgery | |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2023-05-04 |