GENERATION VEIN CLINIC LLC NPI 1649861451

NPI Information

NPI: 1649861451
Provider Name: GENERATION VEIN CLINIC LLC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
6740 DEMPSTER ST
MORTON GROVE, IL
ZIP 60053
Phone: (773) 294-7631
Get Directions

GENERATION VEIN CLINIC LLC is a vascular surgery surgery in Morton Grove, IL. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. GENERATION VEIN CLINIC LLC NPI is 1649861451. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6740 DEMPSTER ST
MORTON GROVE, IL
ZIP 60053-609
Phone: (773) 294-7631

The provider's authorized official is Yevgeny Bulbin .
The authorized official title is Cmo and has the following contact phone number (847) 845-6465.

The enumeration date for this NPI number is 2/3/2021 and was last updated on 5/19/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »