Healthcare Provider Details
I. General information
NPI: 1467393926
Provider Name (Legal Business Name): VICTORY MEDICAL OF ILLINOIS PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/01/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8630 S PULASKI RD
CHICAGO IL
60652-3633
US
IV. Provider business mailing address
19 HILLTOP PL
MONSEY NY
10952-2809
US
V. Phone/Fax
- Phone: 773-897-7700
- Fax: 773-897-7711
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2086S0129X |
| Taxonomy | Vascular Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HAMID
SATTAR
Title or Position: OWNER
Credential: MD
Phone: 313-207-1110