| Chicago Anti-aging And Vein Specialists Llc | |
|
905 Tamer Ln Glenview IL 60025-3768 | |
| (847) 904-7500 | |
| Not Available |
| Full Name | Chicago Anti-aging And Vein Specialists Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 905 Tamer Ln, Glenview, Illinois |
| Authorized Official Name and Position | Lana Moshkovich (CMM, CPC, CEMC) |
| Authorized Official Contact | 8479047500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chicago Anti-aging And Vein Specialists Llc 2921 W Devon Ave Chicago IL 60659-1507 Ph: (312) 729-5522 | Chicago Anti-aging And Vein Specialists Llc 905 Tamer Ln Glenview IL 60025-3768 Ph: (847) 904-7500 |
| NPI Number | 1871870683 |
|---|---|
| Provider Enumeration Date | 11/08/2011 |
| Last Update Date | 11/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871870683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036.124097 (Illinois) | Primary |
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