Organization
VASCULAR SPECIALISTS OF INDIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE TANQUILUT DO (PRESIDENT)
(708) 305-0248
Entity
Organization
Contact information
Practice address
1928 45TH ST, MUNSTER, IN 46321-3917
(815) 824-4406
Mailing address
8505 183RD ST STE A, TINLEY PARK, IL 60487-9354
(815) 824-4406
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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