Healthcare Provider Details

I. General information

NPI: 1902981491
Provider Name (Legal Business Name): VEIN CARE SPECIALISTS, LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 05/15/2024
Certification Date: 05/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

712 N DEARBORN ST STE 101
CHICAGO IL
60654-3846
US

IV. Provider business mailing address

712 N DEARBORN ST STE 101
CHICAGO IL
60654-3846
US

V. Phone/Fax

Practice location:
  • Phone: 312-867-0020
  • Fax: 312-448-6117
Mailing address:
  • Phone: 312-867-0020
  • Fax: 312-448-6117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code202K00000X
TaxonomyPhlebology Physician
License Number
License Number State

VIII. Authorized Official

Name: SALVADOR YUNEZ
Title or Position: PRESIDENT
Credential: MD
Phone: 312-867-0020