Organization
INSTITUTE FOR VEIN HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER BRUKASZ MD (OWNER)
(630) 401-7102
Entity
Organization
Contact information
Practice address
1450 W LAKE ST STE 101, ADDISON, IL 60101-5768
(630) 401-7102
(630) 566-6879
Mailing address
1450 W LAKE ST STE 101, ADDISON, IL 60101-5768
(630) 401-7102
(630) 566-6879
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
036111722
IL
Other
Enumeration date
01/03/2017
Last updated
01/06/2023
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