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Organization
W.A.SURGICAL ASSOSCIATES.S.C
Active
Organization
W.A.SURGICAL ASSOSCIATES.S.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MULJI PAUWAA M.D.,F.A.C.S (PRESIDENT)
(708) 481-6994
Entity
Organization
Contact information
Practice address
54 GRAYMOOR LN, OLYMPIA FIELDS, IL 60461-1218
(708) 481-6994
(708) 748-4069
Mailing address
54 GRAYMOOR LN, OLYMPIA FIELDS, IL 60461-1218
(708) 481-6994
(708) 748-4069
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
036061823
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036061823
—
IL
Enumeration date
02/20/2007
Last updated
08/25/2009
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