Organization
ILLINOIS VEIN SPECIALISTS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN P. RIVARD M.D. (PRESIDENT)
(847) 277-9100
Entity
Organization
Contact information
Practice address
22285 PEPPER ROAD, SUITE 105, BARRINGTON, IL 60010-2640
(847) 277-9100
(847) 277-9110
Mailing address
22285 N PEPPER RD, SUITE 105, LAKE BARRINGTON, IL 60010-2538
(847) 277-9100
(847) 277-9110
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/17/2009
Last updated
03/24/2015
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