Congress Vascular Center Llc

LBN: Congress Vascular Center Llc
Congress Vascular Center Llc is an health care organization with primary practice located at 41 W Congress Pkwy Fl 1 , Chicago IL 60605-1531. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as the primary health care specialty. Congress Vascular Center Llc can be contacted via phone (847) 593-8460, or through Katsnelson, Yan via phone (847) 257-1244.

Contact Information

Primary practice address
41 W Congress Pkwy Fl 1 Chicago IL 60605-1531
Fax: (224) 246-8042
Website:
Authorized official contact:
Name: Katsnelson, Yan Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X

Profile Details

NPI number 1396267324
LBN Legal business name Congress Vascular Center Llc
DBA Doing business as
Authorized official Katsnelson, Yan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2017
Last updated Jul 11th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396267324 NPPES
Illinois MEDICAID 036105104

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