| NPI | 1962849034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN AMORUSO Sr VP Revenue 847-593-8460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: TX P2390) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2023-05-04 |