| Dr Yan Katsnelson, MD | |
|
800 Biesterfield Rd, Suite 201, Elk Grove Village, IL 60007-3311 | |
| (847) 593-8460 | |
| (847) 593-8604 |
| Full Name | Dr Yan Katsnelson |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
| Location | 800 Biesterfield Rd, Elk Grove Village, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285672840 | NPI | - | NPPES |
| 036105104 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 036105104 (Illinois) | Primary |
| Entity Name | Vein Clinics Of Chicago Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386904621 PECOS PAC ID: 1153572383 Enrollment ID: O20121115000199 |
| Entity Name | North Shore Vein Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841547098 PECOS PAC ID: 8123267978 Enrollment ID: O20130626000912 |
| Entity Name | Northwest Vein Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578810651 PECOS PAC ID: 4789824848 Enrollment ID: O20130712000618 |
| Entity Name | Usa Vascular Centers Of Chicago Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174995674 PECOS PAC ID: 5092005215 Enrollment ID: O20160531002300 |
| Entity Name | Congress Vein Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467986901 PECOS PAC ID: 6709148414 Enrollment ID: O20180316001093 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Yan Katsnelson, MD Po Box 451, Northbrook, IL 60065-0451 Ph: (847) 593-8460 | Dr Yan Katsnelson, MD 800 Biesterfield Rd, Suite 201, Elk Grove Village, IL 60007-3311 Ph: (847) 593-8460 |
William Elliott Stansfield, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 800 Biesterfield Rd Bldg Suite545, Elk Grove Village, IL 60007 Phone: 847-593-4116 Fax: 847-593-4135 | |
Alvaro Montoya, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 800 Biesterfield Rd, Elk Grove Village, IL 60007 Phone: 630-789-2550 | |
Dr. Keith David Bowersox, M.D, PHD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 800 Biesterfield Rd, Suite 4005, Elk Grove Village, IL 60007 Phone: 847-593-4116 Fax: 847-593-4135 |