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General NPI Number Information
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NPI Number | 1902981491
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Entity Type | Organization
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Legal Business Name | VEIN CARE SPECIALISTS, LTD
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 05/15/2024
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Provider Practice Location Address
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Address Line | 712 N DEARBORN ST STE 101
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City | CHICAGO
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State | IL
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Zip | 60654-3846
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Country | US
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Telephone | 312-867-0020
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Fax | 312-448-6117
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Provider Business Mailing Address
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Address Line | 712 N DEARBORN ST STE 101
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City | CHICAGO
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State | IL
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Zip | 60654-3846
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Country | US
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Telephone | 312-867-0020
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Fax | 312-448-6117
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Authorized Official
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Title or Position | PRESIDENT
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Name | SALVADOR YUNEZ
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Credential | MD
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Telephone | 312-867-0020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 202K00000X
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Taxonomy Name | Phlebology Physician
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License Number |
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License Number State |
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