ELMWOOD PARK VASCULAR CENTER LLC
NPI 1629501176
Surgery in Elmwood Park, IL
- Organization
- Surgery
- CLIA Number: 14D2207545
- CLIA Cert. Type: School/Student Health Service
- CLIA Exp. Date: 12-28-2026
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. The healthcare provider is registered in the NPI registry with number 1629501176 assigned on April 2017. The practitioner's primary taxonomy code is 208600000X. 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 Yan Katsnelson Md (Ceo)
- NPI
- 1629501176 Verify this NPI
- Provider Name
- ELMWOOD PARK VASCULAR CENTER LLC
- Entity Type
- Organization
- Location Address
- 7230 W NORTH AVE SUITE 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
- 04-11-2017
- Last Update Date
- 04-11-2017
- Code Navigator
A surgeon like Elmwood Park Vascular Center Llc treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.
Location Map
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
- Taxonomy Code
- 208600000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
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.
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
- 14D2207545
- Facility Type
- School/Student Health Service
- Certificate Effective Date
- December 29, 2024
- Certificate Expiration Date
- December 28, 2026
- Laboratory Director
- STEPHANIE HAGINS
- 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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Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
ELMWOOD PARK, IL 60707
ELMWOOD PARK, IL 60707
ELMWOOD PARK, IL 60707
ELMWOOD PARK, IL 60707
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629501176, enumerated as an "organization" on April 11, 2017.
The provider is located at 7230 W NORTH AVE SUITE 108 ELMWOOD PARK, IL 60707 and the phone number is (847) 593-8460.
Surgery with taxonomy code 208600000X.
