Organization
INSTITUTE FOR CARDIOTHORACIC & VEIN SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIC J TOLITANO MD (OWNER)
(630) 860-0035
Entity
Organization
Contact information
Practice address
311 N WALNUT AVE, WOOD DALE, IL 60191-1566
(630) 860-0035
Mailing address
PO BOX 126, WOOD DALE, IL 60191-0126
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036067328
IL
Other
Enumeration date
02/12/2010
Last updated
05/19/2010
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