# W.A.SURGICAL ASSOSCIATES.S.C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033254834
- **Authorized official:** MULJI PAUWAA M.D.,F.A.C.S (PRESIDENT)
- **Authorized official phone:** (708) 481-6994

## Contact information

- **Practice address:** 54 GRAYMOOR LN, OLYMPIA FIELDS, IL 60461-1218
- **Practice address phone:** (708) 481-6994
- **Practice address fax:** (708) 748-4069
- **Mailing address:** 54 GRAYMOOR LN, OLYMPIA FIELDS, IL 60461-1218
- **Mailing address phone:** (708) 481-6994
- **Mailing address fax:** (708) 748-4069

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 036061823 | IL | Yes |

## Other

- **Enumeration date:** 02/20/2007
- **Last updated:** 08/25/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036061823 | — | IL |