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Illiana Vascular Centers INC

Thoracic Surgery (Cardiothoracic Vascular Surgery) in Wood Dale, IL. Organization (NPI-2).

NPI number1811626344
StatusActive
Last updated in NPPESJun 9, 2022

Details

NPI
1811626344
Entity type
Organization (NPI-2)
Legal business name
Illiana Vascular Centers INC
Organization subpart
No
Enumeration date
Jun 9, 2022
Certification date
Jun 9, 2022
Last updated
Jun 9, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)––Yes

Practice location

236 E Irving Park Rd
Wood Dale, IL 60191-2099

Phone 847-590-1500 · Fax 847-590-1502

Mailing address

236 E Irving Park Rd
Wood Dale, IL 60191-2099

Phone 847-590-1500 · Fax 847-590-1502

Authorized official

Dominic Tolitano
Practice Owner
8475901500

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Other Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician providers in Wood Dale, IL

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