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Organization
VARICOSE SOLUTIONS LLC
Active
Organization
VARICOSE SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN FERNANDO ZAPATA MD (MD)
(773) 628-7413
Entity
Organization
Contact information
Practice address
4959 W BELMONT AVE, SUITE S, CHICAGO, IL 60641-4332
(773) 628-7413
(773) 628-7582
Mailing address
4959 W BELMONT AVE, SUITE S, CHICAGO, IL 60641-4332
(773) 628-7413
(773) 628-7582
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036110036
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1601328
BCBS OF IL
IL
Enumeration date
04/12/2010
Last updated
05/16/2012
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