Organization
ILLIANA VASCULAR CENTERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIC TOLITANO MD (PRACTICE OWNER)
(847) 590-1500
Entity
Organization
Contact information
Practice address
236 E IRVING PARK RD, WOOD DALE, IL 60191-2099
(847) 590-1500
(847) 590-1502
Mailing address
236 E IRVING PARK RD, WOOD DALE, IL 60191-2099
(847) 590-1500
(847) 590-1502
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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