# W.A.SURGICAL ASSOSC. S.C.

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

## Provider details

- **NPI number:** 1225100654
- **Authorized official:** DR. MULJI PAUWAA M.D. (VASCULAR SURGEON)
- **Authorized official phone:** (708) 957-9105

## Contact information

- **Practice address:** 17850 KEDZIE AVE STE LL05, HAZEL CREST, IL 60429-2060
- **Practice address phone:** (708) 957-9105
- **Practice address fax:** (708) 647-3284
- **Mailing address:** 17850 KEDZIE AVE STE LL05, HAZEL CREST, IL 60429-2060
- **Mailing address phone:** (708) 957-9105
- **Mailing address fax:** (708) 647-3284

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/14/2006
- **Last updated:** 08/22/2020