Organization · Type 2 NPI

Illinois Laser & Vein Center, LLC

Medical Specialty Clinic/Center · Bourbonnais, IL

NPI number 1699847848 Active

Practice location

1521 N Convent St
Bourbonnais, IL 60914-1468

Fax (815) 937-4777

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XNone listed

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

4 other providers at this address

About NPI 1699847848

Illinois Laser & Vein Center, LLC's National Provider Identifier is 1699847848, issued on Nov 14, 2006. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Bourbonnais, IL. The record was last updated on Sep 25, 2007.