MEDICARE: USA VEIN CLINICS OF CHICAGO LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0129X	Vascular Surgery Physician	036105104	IL

General Provider Information

NPI Number	:	1538391792
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	USA VEIN CLINICS OF CHICAGO LLC

Provider Business Mailing Address
First Line	:	PO BOX 451
Second Line	:
City	:	NORTHBROOK
State	:	IL
Zip	:	60065-0451
Country	:	US
Telephone Number	:	847-593-8460
Fax Number	:

Provider Business Practice Location Address
First Line	:	4141 DUNDEE RD
Second Line	:
City	:	NORTHBROOK
State	:	IL
Zip	:	60062-2129
Country	:	US
Telephone Number	:	847-593-8460
Fax Number	:	847-593-8604

Authorized Official
Title or Position	:	OWNER
Name	:	DR. YAN KATSNELSON
Credential	:	MD
Telephone Number	:	847-593-8616

Provider Enumeration Date	:	08/20/2009
Last Update Date	:	10/08/2025

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