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Organization
SMG BILLING, LLC
Active
Organization
SMG BILLING, LLC
Active
Other names
Medical District Vascular Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES WEIS (EXECUTIVE VICE PRESIDENT AND CFO)
(773) 257-6642
Entity
Organization
Contact information
Practice address
1105 S. WESTERN AVE., CHICAGO, IL 60612
(847) 929-5460
(847) 929-5461
Mailing address
8930 WAUKEGAN ROAD, SUITE 130, MORTON GROVE, IL 60053
(847) 929-5460
(847) 929-5461
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
NULL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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