Organization
MACUMBER MEDICAL LTD
Active
Other names
Advanced Vein Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK MACUMBER MD (OWNER)
(773) 220-0376
Entity
Organization
Contact information
Practice address
3114 W IRVING PARK RD STE 1W, CHICAGO, IL 60618-3435
(833) 388-7669
(833) 388-7669
Mailing address
3114 W IRVING PARK RD STE 1W, CHICAGO, IL 60618-3435
(833) 388-7669
(833) 388-7669
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
04/01/2020
Last updated
11/28/2022
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