Organization · Type 2 NPI
Fort Wayne Vascular Care LLC
Ambulatory Surgical Clinic/Center · Fort Wayne, IN
NPI number
1225684368
Active
Practice location
1833 Magnavox Way # 100
Fort Wayne, IN 46804-1539
Fax (260) 436-7665
Mailing address
120 W 22nd St, Suite 200
Oak Brook, IL 60523-1563
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1225684368
Fort Wayne Vascular Care LLC's National Provider Identifier is 1225684368, issued on Aug 14, 2019. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Fort Wayne, IN. The record was last updated on Feb 4, 2026.