Vascular Surgery Associates, Pllc

LBN: Vascular Surgery Associates, Pllc
Vascular Surgery Associates, Pllc is an health care organization with primary practice located at 10258 Southwest Hwy Ste A , Chicago Ridge IL 60415-1361. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as the primary health care specialty. Vascular Surgery Associates, Pllc can be contacted via phone (708) 346-9533, or through Ellenby, Martin Ira via phone (708) 346-9533.

Contact Information

Primary practice address
10258 Southwest Hwy Ste A Chicago Ridge IL 60415-1361
Phone: (708) 346-9533
Fax: (708) 499-4312
Website:
Map and Directions
Authorized official contact:
Name: Ellenby, Martin Ira Doctor of Medicine (MD)
Phone: (708) 346-9533

Health care specialties

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

Profile Details

NPI number 1538791793
LBN Legal business name Vascular Surgery Associates, Pllc
DBA Doing business as
Authorized official Ellenby, Martin Ira Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2020
Last updated Mar 27th, 2020 - about 4 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 1538791793 NPPES
Illinois MEDICAID 0001538791793

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