Organization
VASCULAR ACCESS CENTERS OF ILLINOIS AT NORTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
P. KEVIN FLYNN (CFO/VICE PRES FINANCE)
(312) 654-2711
Entity
Organization
Contact information
Practice address
2608 W ADDISON ST, CHICAGO, IL 60618-5905
(773) 756-3333
(773) 549-1717
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
05/03/2018
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