Organization
VICTORY AMBULATORY SERVICES
Active
Other names
The Vista Surgery and Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA J. MARTIN (PRESIDENT AND CEO)
(847) 360-3000
Entity
Organization
Contact information
Practice address
1050 RED OAK LN, LINDENHURST, IL 60046-4998
(847) 356-4700
Mailing address
1050 RED OAK LN, LINDENHURST, IL 60046-4998
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
7002322
IL
Other
Enumeration date
05/11/2006
Last updated
08/22/2020
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