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Organization

CONGRESS VASCULAR CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YAN KATSNELSON MD (OWNER/DIRECTOR)
(847) 257-1244
Entity
Organization

Contact information

Practice address
41 W CONGRESS PKWY FL 1, CHICAGO, IL 60605-1531
(847) 593-8460
(224) 246-8042
Mailing address
304 WAINWRIGHT DR, NORTHBROOK, IL 60062-1900
(847) 257-1244
(224) 246-8042

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036105104
IL
Enumeration date
07/11/2017
Last updated
07/11/2017
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