# CHICAGO VEIN CLINIC, SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578592440
- **Authorized official:** DR. YAN KATSNELSON M.D. (PHYSICIAN OWNER)
- **Authorized official phone:** (630) 718-0200

## Contact information

- **Practice address:** 800 BIESTERFIELD RD, SUITE 201, ELK GROVE VILLAGE, IL 60007-3311
- **Practice address phone:** (847) 593-8460
- **Practice address fax:** (847) 593-8604
- **Mailing address:** 1730 PARK ST, SUITE 101, NAPERVILLE, IL 60563-2688
- **Mailing address phone:** (630) 718-0200
- **Mailing address fax:** (630) 718-0900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/02/2006
- **Last updated:** 08/22/2020