Illinois Laser & Vein Center, Llc in Bourbonnais - Medical Specialty
Illinois Laser & Vein Center, Llc - NPI 1699847848
Illinois Laser & Vein Center, Llc is a Medical Specialty in Bourbonnais, Illinois. Illinois Laser & Vein Center, Llc practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Illinois Laser & Vein Center, Llc is 1699847848. The last update date is 2007-09-25.
Illinois Laser & Vein Center, Llc's current location address is 1521 N Convent St, Bourbonnais, Illinois. You can contact this provider via phone number 8159374500 and fax number 8159374777. The mailing address for Illinois Laser & Vein Center, Llc is 1521 N Convent St, Bourbonnais, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Illinois Laser & Vein Center, Llc |
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Address | 1521 N Convent St, Bourbonnais, Illinois |
Phone Number | 8159374500 |
Fax Number | 8159374777 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Yalamanchili Sarat |
Credentials | MD |
Telephone Number | 8159374500 |
NPI Number Detail
NPI Number | 1699847848 |
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Provider Enumeration Date | 2006-11-14 |
Last Updated Date | 2007-09-25 |
Provider Mailing Address Detail
Address | 1521 N Convent St |
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City | Bourbonnais |
State | Illinois (IL) |
Post Code | 609141468 |
Phone Number | 8159374500 |
Fax Number | 8159374777 |
Provider's Primary Taxonomy Detail
Speciality | Medical Specialty |
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Taxonomy | 261Qm2500X |
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific |
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What is the unique 10-digit identification code assigned to Illinois Laser & Vein Center, Llc by the Centers for Medicare & Medicaid Services?
The Illinois Laser & Vein Center, Llc has been issued the NPI (National Provider Identifier) 1699847848, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Illinois Laser & Vein Center, Llc's facilities are situated?
The facilities of Illinois Laser & Vein Center, Llc are physically located at the following address: 1521 N Convent St, Bourbonnais, IL, 609141468.
What is Illinois Laser & Vein Center, Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Illinois Laser & Vein Center, Llc is Medical Specialty, and the taxonomy code that categorizes this field of expertise is 261Qm2500X.
On what date did the Centers for Medicare & Medicaid Services issue the 1699847848 to Illinois Laser & Vein Center, Llc?
The Illinois Laser & Vein Center, Llc received its 1699847848 assignment from the Centers for Medicare & Medicaid Services on 2006-11-14.
As of what date was the information pertaining to Illinois Laser & Vein Center, Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Illinois Laser & Vein Center, Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-09-25.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY