# INSTITUTE FOR CARDIOTHORACIC & VEIN SURGERY LLC

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

## Provider details

- **NPI number:** 1861724049
- **Authorized official:** DOMINIC J TOLITANO MD (OWNER)
- **Authorized official phone:** (630) 860-0035

## Contact information

- **Practice address:** 311 N WALNUT AVE, WOOD DALE, IL 60191-1566
- **Practice address phone:** (630) 860-0035
- **Mailing address:** PO BOX 126, WOOD DALE, IL 60191-0126

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 036067328 | IL | Yes |

## Other

- **Enumeration date:** 02/12/2010
- **Last updated:** 05/19/2010