Vascular Surgery Associates, Pllc
NPI #1538791793 in Chicago Ridge, Illinois
Provider Information
- NPI Number
- 1538791793
- Entity Type
- Organization
- Organization Name
- Vascular Surgery Associates, Pllc
- Primary Specialty
- Surgery - Vascular Surgery
- Enumeration Date
- Feb 6, 2020
- Last Updated
- Mar 27, 2020
Practice Location
- Address
- 10258 SOUTHWEST HWY STE A
- City
- Chicago Ridge
- State
- Illinois
- ZIP Code
- 60415-1361
- Phone
- (708) 346-9533
Authorized Official
- Name
- MARTIN IRA ELLENBY, MD
- Title
- MANAGER
- Phone
- (708) 346-9533
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery - Vascular Surgery — Vascular Surgery |
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