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Organization

SMG BILLING, LLC

Active
Other names
Medical District Vascular Center
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES WEIS (EXECUTIVE VICE PRESIDENT AND CFO)
(773) 257-6642
Entity
Organization

Contact information

Practice address
1105 S. WESTERN AVE., CHICAGO, IL 60612
(847) 929-5460
(847) 929-5461
Mailing address
8930 WAUKEGAN ROAD, SUITE 130, MORTON GROVE, IL 60053
(847) 929-5460
(847) 929-5461

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary

Other

Enumeration date
06/18/2014
Last updated
06/18/2014
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