Organization
VASCULAR SURGERY & NONINVASIVE DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH DURHAM M.D. (PRESIDENT)
(773) 206-7197
Entity
Organization
Contact information
Practice address
1 INGALLS DRIVE, LL-NORTH BLDG, HARVEY, IL 60426
(708) 915-4588
Mailing address
10347 S LONGWOOD DR, CHICAGO, IL 60643-2610
(773) 206-7197
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01628302
BLUE CROSS BLUE SHIELD
IL
Enumeration date
11/15/2006
Last updated
07/21/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up