Organization
VASCULAR ACCESS CENTERS OF ILLINOIS AT MORGAN PARK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMITABHA MITRA (PRESIDENT)
(312) 654-2720
Entity
Organization
Contact information
Practice address
1701 W MONTEREY AVE, CHICAGO, IL 60643-4257
(773) 366-8035
(773) 881-1214
Mailing address
210 S DES PLAINES ST, CHICAGO, IL 60661-5500
(312) 654-2721
(866) 954-5804
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/03/2018
Last updated
11/22/2024
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