Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

General and Vascular Surgical Assoc

Organization Specialist · NPI 1952478430

General and Vascular Surgical Assoc is a Specialist in Maryville, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006

Practice location Address checks out

6810 State Route 162 Ste 105
Maryville, IL 62062-8501
Phone: (618) 288-3616
Fax: (618) 288-3647
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (IL)

Record details

NPI number1952478430
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Lane — President · (618) 288-3616
NPI enumeratedNovember 29, 2006
Last updated in NPPESAugust 22, 2020
Mailing address6810 State Route 162, Suite 105, Maryville, IL 62062-8501

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