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Organization
VASCULAR ACCESS CENTERS OF ILLINOIS AT MORGAN PARK, LLC
Active
Organization
VASCULAR ACCESS CENTERS OF ILLINOIS AT MORGAN PARK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMITABHA MITRA (PRESIDENT)
(312) 654-2720
Entity
Organization
Contact information
Practice address
1701 W MONTEREY AVE, CHICAGO, IL 60643-4257
(773) 366-8035
(773) 881-1214
Mailing address
210 S DES PLAINES ST, CHICAGO, IL 60661-5500
(312) 654-2721
(866) 954-5804
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/03/2018
Last updated
11/22/2024
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