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VCFE OF LAKE COUNTY INC NPI 1821137183


NPI Information

NPI: 1821137183
Provider Name: VCFE OF LAKE COUNTY, INC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
1445 N HUNT CLUB RD
SUITE 103
GURNEE, IL
ZIP 60031
Phone: (847) 856-2534
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VCFE OF LAKE COUNTY, INC is a vascular surgery surgery in Gurnee, 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. VCFE OF LAKE COUNTY, INC NPI is 1821137183. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1445 N HUNT CLUB RD
SUITE 103
GURNEE, IL
ZIP 60031-603
Phone: (847) 856-2534
Fax: (847) 856-2534

The provider's authorized official is Timothy Ryan .
The authorized official title is President and has the following contact phone number (847) 856-2534.

The enumeration date for this NPI number is 2/5/2007 and was last updated on 8/22/2020.


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
12086S0129XSurgeryVascular SurgeryYes

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

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