| NPI | 1487133278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAN KATSNELSON CEO/President 224-318-0118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208600000X Surgery | |
| 2086S0102X Surgery, Surgical Critical Care | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207Q00000X Family Medicine | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| 207P00000X Emergency Medicine | |
| 207RI0011X Internal Medicine, Interventional Cardiology | |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2025-10-06 |