Organization · Type 2 NPI
W.a.surgical Assosc. S.c.
Vascular Surgery Physician · Hazel Crest, IL
NPI number
1225100654
Active
Practice location
17850 Kedzie Ave Ste LL05
Hazel Crest, IL 60429-2060
Fax (708) 647-3284
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.
Other vascular surgery physician providers in Hazel Crest
About NPI 1225100654
W.a.surgical Assosc. S.c.'s National Provider Identifier is 1225100654, issued on Nov 14, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Hazel Crest, IL. The record was last updated on Aug 22, 2020.