Elmwood Park Vascular Center LLC

NPI #1629501176 in Elmwood Park, Illinois

Provider Information

NPI Number: 1629501176
Entity Type: Organization
Organization Name: Elmwood Park Vascular Center LLC
Primary Specialty: Surgery
Enumeration Date: Apr 11, 2017
Last Updated: Apr 11, 2017

Practice Location

Address: 7230 W NORTH AVE
Address 2: SUITE 108
City: Elmwood Park
State: Illinois
ZIP Code: 60707-4261
Phone: (847) 593-8460

Authorized Official

Name: YAN KATSNELSON, MD
Title: CEO
Phone: (847) 257-1244

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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