Individual provider · Type 1 NPI
Joseph R. Durham, MD
Vascular Surgery Physician · Harvey, IL
NPI number
1932260080
Active
Practice location
1 Ingalls Drive, Ll North Bldg
Harvey, IL 60426
Fax (708) 915-5589
Mailing address
10347S Longwood Dr
Chicago, IL 60643-2610
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | 036064231 (IL) |
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 1932260080
Joseph R. Durham, MD's National Provider Identifier is 1932260080, issued on Dec 13, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Harvey, IL. The record was last updated on Jan 8, 2021.