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ELMWOOD PARK VASCULAR CENTER LLC
NPI 1043731300
Surgery - Vascular Surgery in Elmwood Park, IL

Active since June 27, 2017CLIA 14D2161267 · Waiver
7230 W NORTH AVE STE 108, ELMWOOD PARK, IL 60707(847) 593-8460(224) 246-8042 Get Directions Write a Review

NPPES record last updated: June 27, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Elmwood Park Vascular Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELMWOOD PARK VASCULAR CENTER LLC (NPI 1043731300) is a healthcare organization registered as a vascular surgery in Elmwood Park, Illinois and active in the NPI registry since June 2017. The organization holds a CLIA Waiver certificate valid through January 29, 2027 and lists Flora Katsnelson, Owner/director, as its authorized official.

NPPES Registry Identity

NPI1043731300
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameELMWOOD PARK VASCULAR CENTER LLC
Location Address7230 W NORTH AVE STE 108Elmwood Park, IL 60707-4261
Mailing Address304 Wainwright DrNorthbrook, IL 60062-1900 · (847) 257-1244 · Fax (224) 246-8042
Phone(847) 593-8460
Fax(224) 246-8042
Organization SubpartNo
Authorized OfficialFlora KatsnelsonOwner/director · (847) 257-1244
Enumeration DateJune 27, 2017
✔ NPI 1043731300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
7230 W NORTH AVE STE 108, Elmwood Park, IL 60707
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Other Identifiers 1

Medicaid036113246IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2161267

Elmwood Park Vascular Center L L C · Elmwood Park, IL
Active · expires Jan 29, 2027
CLIA Number14D2161267
Laboratory TypePhysician Office
Certificate Effective DateJanuary 30, 2025
Certificate Expiration DateJanuary 29, 2027
Laboratory DirectorPatricia M. Clarke
Laboratory Phone(708) 231-0346
Laboratory LocationElmwood Park Vascular Center L L C7230 W North Ave - Ste 108, Elmwood Park, IL 60707
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elmwood Park Vascular Center LLC's NPI number?

The NPI number for Elmwood Park Vascular Center LLC is 1043731300. It was assigned to this organization in the NPPES registry on June 27, 2017.

Where is Elmwood Park Vascular Center LLC located?

Elmwood Park Vascular Center LLC is located at 7230 W North Ave Ste 108, Elmwood Park, IL 60707. The listed phone number is (847) 593-8460.

What is Elmwood Park Vascular Center LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Does Elmwood Park Vascular Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2161267) is associated with this NPI, valid through January 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Elmwood Park Vascular Center LLC was last updated on June 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.