# VCFE OF LAKE COUNTY, INC

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

## Provider details

- **NPI number:** 1821137183
- **Authorized official:** TIMOTHY RYAN MD (PRESIDENT)
- **Authorized official phone:** (847) 856-2534

## Contact information

- **Practice address:** 1445 N HUNT CLUB RD, SUITE 103, GURNEE, IL 60031-2603
- **Practice address phone:** (847) 856-2534
- **Practice address fax:** (847) 856-2534
- **Mailing address:** 1445 N HUNT CLUB RD, SUITE 103, GURNEE, IL 60031-2603
- **Mailing address phone:** (847) 856-2534
- **Mailing address fax:** (847) 856-2534

## Taxonomy

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

## Other

- **Enumeration date:** 02/05/2007
- **Last updated:** 08/22/2020