# SW SUBURBAN - MIDWEST VASCULAR CENTER, S. C.

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

## Provider details

- **NPI number:** 1053511840
- **Authorized official:** DR. JAMES WRIGHT M.D. (PRESIDENT)
- **Authorized official phone:** (630) 322-9126

## Contact information

- **Practice address:** 10755 W 143RD ST, ORLAND PARK, IL 60462-1900
- **Practice address phone:** (630) 322-9126
- **Mailing address:** 2001 BUTTERFIELD RD, SUITE \#100, DOWNERS GROVE, IL 60515-1050
- **Mailing address phone:** (630) 322-9126
- **Mailing address fax:** (630) 995-7965

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 202K00000X | Phlebology Physician | — | NULL | Yes |
| 202K00000X | Phlebology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/20/2007
- **Last updated:** 10/25/2019