# IL VEIN SPECIALISTS, LTD.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jack Perlmutter, MD, S.C.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821760752
- **Authorized official:** MRS. KELLY LEE BANKS (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (847) 277-9100

## Contact information

- **Practice address:** 22285 N PEPPER RD STE 105, LAKE BARRINGTON, IL 60010-2539
- **Practice address phone:** (847) 277-9100
- **Practice address fax:** (847) 277-9110
- **Mailing address:** 22285 N PEPPER RD STE 105, LAKE BARRINGTON, IL 60010-2539
- **Mailing address phone:** (847) 277-9100
- **Mailing address fax:** (847) 277-9110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/29/2021
- **Last updated:** 09/29/2021
