Organization
CROWN POINT VEIN CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELVONNE JONES (MANAGER)
(847) 257-1244
Entity
Organization
Contact information
Practice address
304 WAINWRIGHT DR, NORTHBROOK, IL 60062-1900
(847) 257-1244
(224) 246-8042
Mailing address
333 W 89TH AVE, W2, MERRILLVILLE, IN 46410-7073
(219) 769-8346
(224) 246-8042
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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