Healthcare Provider Details

I. General information

NPI: 1497659817
Provider Name (Legal Business Name): MARYLAND PROFESSIONAL MEDICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1910 TOWNE CENTRE BLVD STE 210
ANNAPOLIS MD
21401-3675
US

IV. Provider business mailing address

304 WAINWRIGHT DR STE 120
NORTHBROOK IL
60062-1919
US

V. Phone/Fax

Practice location:
  • Phone: 410-656-8196
  • Fax: 224-235-4652
Mailing address:
  • Phone: 847-257-1244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: YAN KATSNELSON
Title or Position: CEO
Credential: MD
Phone: 847-774-5300