Elmwood Park Vascular Center Llc

LBN: Elmwood Park Vascular Center Llc
Elmwood Park Vascular Center Llc is an health care organization with primary practice located at 7230 W North Ave Ste 108 , Elmwood Park IL 60707-4261. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as the primary health care specialty. Elmwood Park Vascular Center Llc can be contacted via phone (847) 593-8460, or through Katsnelson, Flora via phone (847) 257-1244.

Contact Information

Primary practice address
7230 W North Ave Ste 108 Elmwood Park IL 60707-4261
Phone: (847) 593-8460
Fax: (224) 246-8042
Website:
Map and Directions
Authorized official contact:
Name: Katsnelson, Flora Doctor of Medicine (MD)
Phone: (847) 257-1244

Health care specialties

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

Profile Details

NPI number 1043731300
LBN Legal business name Elmwood Park Vascular Center Llc
DBA Doing business as
Authorized official Katsnelson, Flora Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2017
Last updated Jun 27th, 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 1043731300 NPPES
Illinois MEDICAID 036113246

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