is a Vascular Surgery in Chicago, Illinois. practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for is 1558313718. The last update date is .
's current location address is 676 N Saint Clair St, Chicago, Illinois. You can contact this provider via phone number 3126952716. The mailing address for is 676 N Saint Clair St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 676 N Saint Clair St, Chicago, Illinois |
| Phone Number | 3126952716 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1558313718 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 676 N Saint Clair St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606112927 |
| Phone Number | 3126952716 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | 36131130 |
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Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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