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Organization
W.A.SURGICAL ASSOSC. S.C.
Active
Organization
W.A.SURGICAL ASSOSC. S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MULJI PAUWAA M.D. (VASCULAR SURGEON)
(708) 957-9105
Entity
Organization
Contact information
Practice address
17850 KEDZIE AVE STE LL05, HAZEL CREST, IL 60429-2060
(708) 957-9105
(708) 647-3284
Mailing address
17850 KEDZIE AVE STE LL05, HAZEL CREST, IL 60429-2060
(708) 957-9105
(708) 647-3284
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
11/14/2006
Last updated
08/22/2020
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