Active NPI
Chicago Vein Clinic, SC
- Vascular Surgery Physician
- Elk Grove Village, IL
National Provider Identifier
1578592440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- Legal business name
- CHICAGO VEIN CLINIC, SC
- Practice address
- 800 Biesterfield Rd
Suite 201
Elk Grove Village, IL 60007-3311 - Phone
- (847) 593-8460
- Fax
- (847) 593-8604
- NPI assigned
- Jul 2, 2006
- Last updated
- Aug 22, 2020
- 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
- Dr. Yan Katsnelson, M.D.
- Title
- Physician Owner
- Phone
- (630) 718-0200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | NU | Primary |
Addresses
Primary practice location
800 Biesterfield Rd
Suite 201
Elk Grove Village, IL 60007-3311
Mailing address
1730 Park St
Suite 101
Naperville, IL 60563-2688
Phone (630) 718-0200
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Elk Grove Village, IL
- NPI 1285672840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1578592440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1730 PARK ST",
"address_2": "SUITE 101",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605632688",
"telephone_number": "630-718-0200",
"fax_number": "630-718-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 BIESTERFIELD RD",
"address_2": "SUITE 201",
"city": "ELK GROVE VILLAGE",
"state": "IL",
"postal_code": "600073311",
"telephone_number": "847-593-8460",
"fax_number": "847-593-8604"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHICAGO VEIN CLINIC, SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KATSNELSON",
"authorized_official_first_name": "YAN",
"authorized_official_title_or_position": "PHYSICIAN OWNER",
"authorized_official_telephone_number": "630-718-0200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elk Grove Village, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.