Organization · Type 2 NPI
Elmwood Park Vascular Center LLC
Vascular Surgery Physician · Elmwood Park, IL
NPI number
1043731300
Active
Practice location
7230 W North Ave Ste 108
Elmwood Park, IL 60707-4261
Fax (224) 246-8042
Mailing address
304 Wainwright Dr
Northbrook, IL 60062-1900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | None listed |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
About NPI 1043731300
Elmwood Park Vascular Center LLC's National Provider Identifier is 1043731300, issued on Jun 27, 2017. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Elmwood Park, IL. The record was last updated on Jun 27, 2017.