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

NPI Status: Active since June 27, 2017

Contact Information

7230 W NORTH AVE STE 108
ELMWOOD PARK, IL
ZIP 60707
Phone: (847) 593-8460
Fax: (224) 246-8042

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  • Organization
  • Surgery
  • Vascular Surgery
  • CLIA Number: 14D2161267
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-29-2027

About ELMWOOD PARK VASCULAR CENTER LLC

This page provides the complete NPI Profile along with additional information for Elmwood Park Vascular Center Llc, a provider established in Elmwood Park, Illinois operating as a Surgery, focusing in vascular surgery . The healthcare provider is registered in the NPI registry with number 1043731300 assigned on June 2017. The practitioner's primary taxonomy code is 2086S0129X. The provider is registered as an organization and their NPI record was last updated 9 years ago. Elmwood Park Vascular Center Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Flora Katsnelson Md (Owner/director)

NPI
1043731300
Provider Name
ELMWOOD PARK VASCULAR CENTER LLC
Entity Type
Organization
Location Address
7230 W NORTH AVE STE 108 ELMWOOD PARK, IL 60707
Location Phone
(847) 593-8460
Location Fax
(224) 246-8042
Mailing Address
304 WAINWRIGHT DR NORTHBROOK, IL 60062
Mailing Phone
(847) 257-1244
Mailing Fax
(224) 246-8042
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-27-2017
Last Update Date
06-27-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery Vascular Surgery

Taxonomy Code
2086S0129X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

FLORA KATSNELSON MD

Authorized Official Title
OWNER/DIRECTOR
Authorized Official Phone
(847) 257-1244

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
036113246MEDICAID (05)IL 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
14D2161267
Facility Type
Physician Office
Certificate Effective Date
January 30, 2025
Certificate Expiration Date
January 29, 2027
Laboratory Director
PATRICIA M. CLARKE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Elmwood Park Vascular Center Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1043731300, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
4
Doubled → 8
Pos 4
3
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
3
Unchanged
Pos 7
1
Doubled → 2
Pos 8
3
Unchanged
Pos 9
0
Doubled → 0
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 7 → 14 → 5 1 → 2 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 8 + 3 + 1 + 4 + 3 + 2 + 3 + 0 + 24 = 50

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1043731300.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043731300, enumerated as an "organization" on June 27, 2017.

The provider is located at 7230 W NORTH AVE STE 108 ELMWOOD PARK, IL 60707 and the phone number is (847) 593-8460.

Surgery with taxonomy code 2086S0129X and a focus in Vascular Surgery.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.