# PACIFIC VEIN CARE, LLC

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

## Provider details

- **NPI number:** 1649405200
- **Authorized official:** DR. ERNEST A CONTI M.D. (LEAD PHYSICIAN)
- **Authorized official phone:** (815) 759-0800

## Contact information

- **Practice address:** 3929 MERCY DR, MCHENRY, IL 60050-3151
- **Practice address phone:** (815) 759-2368
- **Practice address fax:** (815) 759-2367
- **Mailing address:** 3929 MERCY DR, MCHENRY, IL 60050-3151
- **Mailing address phone:** (815) 759-2368
- **Mailing address fax:** (815) 759-2367

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/26/2009
- **Last updated:** 06/19/2013