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Organization
VASCULAR & THORACIC ASSOC LTD.
Active
Organization
VASCULAR & THORACIC ASSOC LTD.
Active
Other names
Vascular & Thoracic Assoc Ltd.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSIE ADAMS (INSURANCE COORDINATOR)
(309) 764-9162
Entity
Organization
Contact information
Practice address
870 36TH AVE, MOLINE, IL 61265-7159
(309) 764-9162
(309) 764-9471
Mailing address
870 36TH AVE, MOLINE, IL 61265-7159
(309) 764-9162
(309) 764-9471
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
042616991
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG0447
RAIL ROAD MEDICARE
IL
Enumeration date
08/31/2006
Last updated
08/26/2008
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