Organization
CHICAGO VEIN INSTITUTE S.C.
Active
Organization
CHICAGO VEIN INSTITUTE S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEJLA M. SUNJE MBA (OFFICE MANAGER)
(773) 989-0562
Entity
Organization
Contact information
Practice address
4906 N. WESTERN AVE., SUITE 2, CHICAGO, IL 60625
(773) 989-0562
(773) 506-7341
Mailing address
4906 N. WESTERN AVE., SUITE 2, CHICAGO, IL 60625
(773) 989-0562
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
036103665
IL
207R00000X
Internal Medicine Physician
Primary
036103665
IL
Other
Enumeration date
10/02/2006
Last updated
12/01/2009
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