Organization
CENTER FOR VEIN RESTORATION IL LLC
Active
Organization
CENTER FOR VEIN RESTORATION IL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHANH Q. NGUYEN DO (OWNER)
(855) 830-8346
Entity
Organization
Contact information
Practice address
2001 BUTTERFIELD RD STE 1000, DOWNERS GROVE, IL 60515-5476
(855) 830-8346
Mailing address
7474 GREENWAY CENTER DR STE 1000, GREENBELT, MD 20770-3500
(152) 541-7618
(815) 254-5431
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036139055
IL
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
06/05/2018
Last updated
04/30/2024
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