Individual
DR. YAN KATSNELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 BIESTERFIELD RD, SUITE 201, ELK GROVE VILLAGE, IL 60007-3311
(847) 593-8460
(847) 593-8604
Mailing address
PO BOX 451, NORTHBROOK, IL 60065-0451
(847) 593-8460
(847) 593-8604
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036105104
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036105104
—
IL
Enumeration date
06/03/2006
Last updated
10/13/2022
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