Provider Demographics
NPI:1134107998
Name:MIDWEST VASCULAR & THORACIC SURGICAL SPECIALISTS LTD
Entity Type:Organization
Organization Name:MIDWEST VASCULAR & THORACIC SURGICAL SPECIALISTS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANWAR
Authorized Official - Middle Name:SAEED
Authorized Official - Last Name:CHOUDHRY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-346-4646
Mailing Address - Street 1:4400 W 95TH STREET
Mailing Address - Street 2:SUITE 403
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-2661
Mailing Address - Country:US
Mailing Address - Phone:708-346-4646
Mailing Address - Fax:708-346-4454
Practice Address - Street 1:4400 W 95TH STREET
Practice Address - Street 2:SUITE 403
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-2661
Practice Address - Country:US
Practice Address - Phone:708-346-4646
Practice Address - Fax:708-346-4454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty