Elmwood Park Vascular Center LLC
Organization Active NPI Vascular Surgery Physician · Elmwood Park, IL
NPI 1043731300 · NPPES record last updated Jun 27, 2017
Key facts
- NPI
- 1043731300
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Vascular Surgery Physician 2086S0129X
- Legal business name
- ELMWOOD PARK VASCULAR CENTER LLC
- Practice address
- 7230 W North Ave Ste 108
Elmwood Park, IL 60707-4261 - Phone
- (847) 593-8460
- Fax
- (224) 246-8042
- NPI assigned
- Jun 27, 2017
- Organization subpart
- No
Authorized official
- Name
- Flora Katsnelson, MD
- Title
- Owner/Director
- Phone
- (847) 257-1244
Practitioners 19
-
Terrill Applewhite, M.D.
-
William Yaw-Ntaaku Asihene, M.D, PH.D
-
Phillip Leon Cacioppo, M.D.
-
Sapan S. Desai, M.D., PH.D., MBA
-
Di Fan, M.D.
-
Yan Katsnelson, M.D.
-
Obi T Okoye, M.D.
-
Charles Perrott, MD
-
Iftikhar Ahmad, MD
-
John Peter Fitzsimons, M.D.
-
Joseph E Graham, MD
-
Monish Merchant, M.D.
-
Aaron Opher Shiloh, M.D.
-
Brent Thomas Steadman, M.D., PH.D.
-
Benjamin B Tang, M.D.
-
Jacob White, MD
National Provider Directory
Locations
304 Wainwright Dr
Northbrook, IL 60062
Phone (224) 318-0118
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician |
2086S0129X | Yes |
Addresses
Primary practice location
7230 W North Ave Ste 108
Elmwood Park, IL 60707-4261
Mailing address
304 Wainwright Dr
Northbrook, IL 60062-1900
Phone (847) 257-1244
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036113246 | Medicaid | IL |
Other providers in Elmwood Park, IL
- Elmwood Care, Inc.
- Elmwood Dental
- Elmwood Park Community Unit School District 401
- Elmwood Park Same Day Surgery LLC
- Elmwood Park Surgery Center Acquisition & Development LLC
- Elmwood Park Vascular Center LLC
- Emotional Intelligence Inc.
- Karen Anita Ennis
- Esperanza Home Health Care, Inc.
- Francesco Ettorre
All providers in Elmwood Park, IL · Vascular Surgery Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.