| NPI | 1952103509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAN KATSNELSON Owner 847-774-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 202K00000X Phlebology |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 2086S0129X | |
| Enumeration Date | 2025-03-25 |
| Last Update Date | 2025-03-25 |