Advanced Surgical Consultants LLC
Organization Active NPI Surgery Physician · Homer Glen, IL
NPI 1740701952 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1740701952
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- Legal business name
- ADVANCED SURGICAL CONSULTANTS LLC
- Practice address
- 12701 W 143Rd St Ste 110
Homer Glen, IL 60491-7721 - Phone
- (708) 364-0441
- NPI assigned
- Jun 28, 2017
- Organization subpart
- No
Authorized official
- Name
- Thomas J Vasdekas, MD
- Title
- Owner
- Phone
- (708) 364-0441
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | Yes |
Addresses
Primary practice location
12701 W 143Rd St Ste 110
Homer Glen, IL 60491-7721
Mailing address
12701 W 143Rd St Ste 110
Homer Glen, IL 60491-7721
Phone (708) 364-0441
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All providers in Homer Glen, IL · Surgery Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.