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W.A.SURGICAL ASSOSC. S.C.
NPI 1225100654
Surgery - Vascular Surgery in Hazel Crest, IL

Active since November 14, 2006
17850 KEDZIE AVE STE LL05, HAZEL CREST, IL 60429(708) 957-9105(708) 647-3284 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About W.a.surgical Assosc. S.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

W.A.SURGICAL ASSOSC. S.C. (NPI 1225100654) is a healthcare organization registered as a vascular surgery in Hazel Crest, Illinois and active in the NPI registry since November 2006. The organization lists Mulji Pauwaa, Vascular Surgeon, as its authorized official.

NPPES Registry Identity

NPI1225100654
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameW.A.SURGICAL ASSOSC. S.C.
Location Address17850 KEDZIE AVE STE LL05Hazel Crest, IL 60429-2060
Mailing Address17850 Kedzie Ave Ste Ll05Hazel Crest, IL 60429-2060 · (708) 957-9105 · Fax (708) 647-3284
Phone(708) 957-9105
Fax(708) 647-3284
Organization SubpartNo
Authorized OfficialMulji PauwaaVascular Surgeon · (708) 957-9105
Enumeration DateNovember 14, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1225100654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
17850 KEDZIE AVE STE LL05, Hazel Crest, IL 60429
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is W.A.Surgical Assosc. S.C.'s NPI number?

The NPI number for W.A.Surgical Assosc. S.C. is 1225100654. It was assigned to this organization in the NPPES registry on November 14, 2006.

Where is W.A.Surgical Assosc. S.C. located?

W.A.Surgical Assosc. S.C. is located at 17850 Kedzie Ave Ste Ll05, Hazel Crest, IL 60429. The listed phone number is (708) 957-9105.

What is W.A.Surgical Assosc. S.C.'s specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for W.A.Surgical Assosc. S.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.