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Organization

ILLINOIS LASER & VEIN CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SARAT YALAMANCHILI MD (PRESIDENT)
(815) 937-4500
Entity
Organization

Contact information

Practice address
1521 N CONVENT ST, BOURBONNAIS, IL 60914-1468
(815) 937-4500
(815) 937-4777
Mailing address
1521 N CONVENT ST, BOURBONNAIS, IL 60914-1468
(815) 937-4500
(815) 937-4777

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary

Other

Enumeration date
11/14/2006
Last updated
09/25/2007
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