Elmwood Park Vascular Center LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

ELMWOOD PARK VASCULAR CENTER LLC

Practice address

7230 W North Ave
Suite 108
Elmwood Park, IL 60707-4261

Phone

(847) 593-8460

Fax

(224) 246-8042

NPI assigned

Apr 11, 2017

Last updated

Apr 11, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Yan Katsnelson, MDNPI 1285672840

Title

Ceo

Phone

(847) 257-1244

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 4

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.

• Ara Karekin Pridjian, MD

  • Vascular Surgery Physician
  • Chicago, IL
  • NPI 1447344502
  Medicare reassignment NPD
• Sabah David Butty, MD

  • Vascular & Interventional Radiology Physician
  • Mishawaka, IN
  • NPI 1770521445

  IL

  Medicare reassignment NPD
• Stuart M Feldman, D.O.

  • Emergency Medicine Physician
  • Milwaukee, WI
  • NPI 1760434633

  IL

  Medicare reassignment NPD
• Yan Katsnelson, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Elk Grove Village, IL
  • NPI 1285672840
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491868800000",
    "number": "1629501176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 WAINWRIGHT DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621900",
            "telephone_number": "847-257-1244",
            "fax_number": "224-246-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7230 W NORTH AVE",
            "address_2": "SUITE 108",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607074261",
            "telephone_number": "847-593-8460",
            "fax_number": "224-246-8042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMWOOD PARK VASCULAR CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-11",
        "last_updated": "2017-04-11",
        "status": "A",
        "authorized_official_last_name": "KATSNELSON",
        "authorized_official_first_name": "YAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-257-1244",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elmwood Dental
• Elmwood Park Community Unit School District 401
• Elmwood Park Same Day Surgery LLC (SameDay Surgery Elmwood Park)
• Elmwood Park Surgery Center Acquisition & Development LLC (Elmwood Park Same Day Surgery Center)
• Elmwood Park Vascular Center LLC
• Emotional Intelligence Inc.
• Karen Anita Ennis, SLP
• Esperanza Home Health Care, Inc.
• Francesco Ettorre, M.S.
• Lauren Farina, LCSW

• Surgery Physician in Elmwood Park, IL
• Providers in Elmwood Park, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.