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
Address 1521 N Convent St, Bourbonnais, Illinois
Phone Number 8159374500
Fax Number 8159374777
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Yalamanchili Sarat
Credentials MD
Telephone Number 8159374500

NPI Number Detail

NPI Number 1699847848
Provider Enumeration Date 2006-11-14
Last Updated Date 2007-09-25

Provider Mailing Address Detail

Address 1521 N Convent St
City Bourbonnais
State Illinois (IL)
Post Code 609141468
Phone Number 8159374500
Fax Number 8159374777

Provider's Primary Taxonomy Detail

Speciality Medical Specialty
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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FAQs about Illinois Laser & Vein Center, Llc

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.

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