| NPI | 1962849794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON LOHMEYER CFO 847-949-3855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology |
| 2086S0129X Surgery, Vascular Surgery | |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2021-06-30 |