Organization
ILLINOIS VEIN SPECIALISTS-GLENVIEW S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN R RIVARD M.D. (PRESIDENT)
(847) 277-9100
Entity
Organization
Contact information
Practice address
2640 PATRIOT BLVD, SUITE 260, GLENVIEW, IL 60026-8075
(847) 277-9100
(847) 277-9110
Mailing address
2640 PATRIOT BLVD, SUITE 260, GLENVIEW, IL 60026-8075
(847) 277-9100
(847) 277-9110
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036107376
IL
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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