Organization
VASCULAR DIAGNOSTICS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY BUCKMAN M.D. (OWNER/MEDICAL DIRECTOR)
(847) 298-7876
Entity
Organization
Contact information
Practice address
1600 DEMPSTER ST, SUITE 105, PARK RIDGE, IL 60068-1109
(847) 298-7876
(847) 298-7886
Mailing address
1600 DEMPSTER ST, SUITE 105, PARK RIDGE, IL 60068-1109
(847) 298-7876
(847) 298-7886
Taxonomy
Speciality
Code
Description
License number
State
246XC2903X
Vascular Specialist/Technologist Cardiovascular
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0551070001
NATIONAL GOVERNMENT SERVICES
IL
Enumeration date
04/20/2006
Last updated
02/19/2009
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