Michael J Verta Jr, Mdsc in Kenilworth - Vascular Surgery
Michael J Verta Jr, Mdsc - NPI 1275645590
Michael J Verta Jr, Mdsc is a Vascular Surgery in Kenilworth, Illinois. Michael J Verta Jr, Mdsc practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Michael J Verta Jr, Mdsc is 1275645590. The last update date is 2020-08-22.
Michael J Verta Jr, Mdsc's current location address is 321 Raleigh Rd, Kenilworth, Illinois. You can contact this provider via phone number 8472050050 and fax number 8472562931. The mailing address for Michael J Verta Jr, Mdsc is 321 Raleigh Rd, Kenilworth, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Michael J Verta Jr, Mdsc |
|---|---|
| Address | 321 Raleigh Rd, Kenilworth, Illinois |
| Phone Number | 8472050050 |
| Fax Number | 8472562931 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Verta J Michael |
| Credentials | MD |
| Telephone Number | 8472050050 |
NPI Number Detail
| NPI Number | 1275645590 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 321 Raleigh Rd |
|---|---|
| City | Kenilworth |
| State | Illinois (IL) |
| Post Code | 600431253 |
| Phone Number | 8472050050 |
| Fax Number | 8472562931 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 21607920 | IL | BCBS OF IL |
Post Comment/ Review Below
What is the Michael J Verta Jr, Mdsc's 1275645590?
The Michael J Verta Jr, Mdsc's NPI (National Provider Identifier) Number is 1275645590. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Michael J Verta Jr, Mdsc?
The Michael J Verta Jr, Mdsc is physically situated at 321 Raleigh Rd, in the city of Kenilworth, state of IL, with the postal code 600431253.
What is the area of specialization for Michael J Verta Jr, Mdsc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Michael J Verta Jr, Mdsc is Vascular Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 2086S0129X.
On what date did the Centers for Medicare & Medicaid Services issue the 1275645590 to Michael J Verta Jr, Mdsc?
The Michael J Verta Jr, Mdsc received its 1275645590 assignment from the Centers for Medicare & Medicaid Services on 2006-08-31.
When was the information related to Michael J Verta Jr, Mdsc most recently updated or refreshed?
The details pertaining to the Michael J Verta Jr, Mdsc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.