Active NPI
Illinois Professional Medical Services PLLC
- Vascular & Interventional Radiology Physician
- Chicago, IL
National Provider Identifier
1003710427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- Legal business name
- ILLINOIS PROFESSIONAL MEDICAL SERVICES PLLC
- Practice address
- 6415 W Archer Ave
Chicago, IL 60638-2503 - Phone
- (773) 906-8060
- Fax
- (773) 498-2274
- NPI assigned
- Oct 7, 2026
- Last updated
- Oct 7, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yan Katsnelson, MD
- Title
- Ceo
- Phone
- (847) 774-5300
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | NU | Primary | |
| Vascular Surgery Physician | 2086S0129X | NU |
Addresses
Primary practice location
6415 W Archer Ave
Chicago, IL 60638-2503
Mailing address
304 Wainwright Dr Ste 120
Northbrook, IL 60062-1919
Phone (847) 257-1244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791331200000",
"number": "1003710427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 WAINWRIGHT DR STE 120",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600621919",
"telephone_number": "847-257-1244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6415 W ARCHER AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606382503",
"telephone_number": "773-906-8060",
"fax_number": "773-498-2274"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ILLINOIS PROFESSIONAL MEDICAL SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-07",
"last_updated": "2026-10-07",
"certification_date": "2026-10-07",
"status": "A",
"authorized_official_last_name": "KATSNELSON",
"authorized_official_first_name": "YAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "847-774-5300",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.