Organization
THOMAS J VASDEKAS, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS J VASDEKAS M.D. (OWNER)
(708) 349-0055
Entity
Organization
Contact information
Practice address
12701 W 143RD ST, SUITE 110, HOMER GLEN, IL 60491-7715
(708) 349-0055
(708) 460-8031
Mailing address
10660 W 143RD ST, SUITE B, ORLAND PARK, IL 60462-1982
(708) 349-0055
(708) 460-8031
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
10/23/2007
Last updated
10/12/2016
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