Organization
WILTON VASCULAR MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORENA ESPARZA (REVENUE CYCLE MANAGER)
(630) 725-2764
Entity
Organization
Contact information
Practice address
372 DANBURY RD STE 220, WILTON, CT 06897-2523
(203) 762-2800
(203) 796-2810
Mailing address
2001 BUTTERFIELD RD STE 300, DOWNERS GROVE, IL 60515-1069
(630) 725-2700
(833) 842-5469
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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