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Organization

VALLEY VILLAGE VEIN CLINIC PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FLORA KATSNELSON MD (OWNER)
(847) 593-8616
Entity
Organization

Contact information

Practice address
12840 RIVERSIDE DR, STE 300, VALLEY VILLAGE, CA 91607-3327
(847) 593-8616
(888) 398-3230
Mailing address
PO BOX 832, NORTHBROOK, IL 60065-0832
(262) 877-8752
(888) 398-3230

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2086S0129X
Vascular Surgery Physician
Primary

Other

Enumeration date
08/04/2010
Last updated
09/13/2012
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