CONGRESS VEIN CLINIC LLC NPI 1467986901

NPI Details

CONGRESS VEIN CLINIC LLC is a trauma surgery surgery in Chicago, IL. The provider is trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. CONGRESS VEIN CLINIC LLC NPI is 1467986901. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

41 W CONGRESS PKWY
1ST FLOOR
CHICAGO, IL
ZIP 60605-531
Phone: (847) 593-8460
Fax: (224) 246-8042

The provider's authorized official is Yan Katsnelson .
The authorized official title is Ceo and has the following contact phone number (847) 257-1244.

The CLIA number assigned to this NPI record is 14D2161265 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/11/2017 and was last updated on 4/11/2017.

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: