Organization
LIFELINE VASCULAR ACCESS NETWORK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD NEE (VP / GENERAL MANAGER)
(847) 388-2055
Entity
Organization
Contact information
Practice address
THREE HAWTHORN PARKWAY, SUITE 410, VERNON HILLS, IL 60061-1450
(847) 388-2001
(847) 388-2020
Mailing address
THREE HAWTHORN PARKWAY, SUITE 410, VERNON HILLS, IL 60061-1450
(847) 388-2001
(847) 388-2020
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Enumeration date
05/03/2010
Last updated
05/03/2010
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