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VASCULAR & HAND SURGERY LTD NPI 1104841063


NPI Information

NPI: 1104841063
Provider Name: VASCULAR & HAND SURGERY, LTD
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
311 W LINCOLN ST
SUITE 200
BELLEVILLE, IL
ZIP 62220
Phone: (618) 233-2500
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VASCULAR & HAND SURGERY, LTD is a vascular surgery surgery in Belleville, 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. VASCULAR & HAND SURGERY, LTD NPI is 1104841063. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

311 W LINCOLN ST
SUITE 200
BELLEVILLE, IL
ZIP 62220-902
Phone: (618) 233-2500
Fax: (618) 233-2520

The provider's authorized official is Kosit Prieb .
The authorized official title is President and has the following contact phone number (618) 233-2500.

The enumeration date for this NPI number is 7/13/2006 and was last updated on 7/12/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0105XSurgerySurgery of the Hand042-005690ILLINOISNo
22086S0129XSurgeryVascular Surgery042-005690ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1231180MEDICARE ID-TYPE UNSPECIFIEDILLINOISPROVIDER NUMBER

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: 11/14/2023

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