# VICTORY MEDICAL OF ILLINOIS PC

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

## Provider details

- **NPI number:** 1467393926
- **Authorized official:** HEATHER BRAME (AUTHORIZED OFFICIA/CONTRACTING AND)
- **Authorized official phone:** (210) 287-7725

## Contact information

- **Practice address:** 8630 S PULASKI RD, CHICAGO, IL 60652-3633
- **Practice address phone:** (773) 897-7700
- **Practice address fax:** (773) 897-7711
- **Mailing address:** 8630 SOUTH PULASKI RD, CHICAGO, IL 60652-3633
- **Mailing address phone:** (773) 897-7700
- **Mailing address fax:** (773) 897-7711

## Taxonomy

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

## Other

- **Enumeration date:** 04/01/2026
- **Last updated:** 08/27/2026