W.a.Surgical Assosc. S.C.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

W.A.SURGICAL ASSOSC. S.C.

Practice address

17850 Kedzie Ave Ste LL05
Hazel Crest, IL 60429-2060

Phone

(708) 957-9105

Fax

(708) 647-3284

NPI assigned

Nov 14, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mulji Pauwaa, M.D.

Title

Vascular Surgeon

Phone

(708) 957-9105

Specialties & licenses 1

Addresses

Tax ID family

Wasurgical Assosc SC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• W.a.Surgical Assosciates.S.C

  • Vascular Surgery Physician
  • Olympia Fields, IL
  • NPI 1033254834
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225100654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17850 KEDZIE AVE STE LL05",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292060",
            "telephone_number": "708-957-9105",
            "fax_number": "708-647-3284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17850 KEDZIE AVE STE LL05",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292060",
            "telephone_number": "708-957-9105",
            "fax_number": "708-647-3284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W.A.SURGICAL ASSOSC. S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAUWAA",
        "authorized_official_first_name": "MULJI",
        "authorized_official_title_or_position": "VASCULAR SURGEON",
        "authorized_official_telephone_number": "708-957-9105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Varsha Bhan MD SC
• Vascular Surgery and Interpretation S.C.
• Vertical Plus MRI of America, LLC
• Vertical Plus of Hazel Crest
• Village of Hazel Crest
• Walgreen Co
• Yvonne Walker
• Melanie Rose Watson-Montgomery, DDS
• Jean M Watson
• Leroy Nmi Weathersby II, DDS

• Vascular Surgery Physician in Hazel Crest, IL
• Providers in Hazel Crest, IL by specialty
• Vascular Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.