Organization
CHICAGO ANTI-AGING AND VEIN SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANA MOSHKOVICH (CMM, CPC, CEMC)
(847) 904-7500
Entity
Organization
Contact information
Practice address
905 TAMER LN, GLENVIEW, IL 60025-3768
(847) 904-7500
Mailing address
2921 W DEVON AVE, CHICAGO, IL 60659-1507
(312) 729-5522
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.124097
IL
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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