Provider Demographics
NPI:1710094602
Name:GENERAL AND VASCULAR SURGERY, LTD.
Entity Type:Organization
Organization Name:GENERAL AND VASCULAR SURGERY, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAUL
Authorized Official - Middle Name:L
Authorized Official - Last Name:ARON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-695-6600
Mailing Address - Street 1:745 FLETCHER DR STE 302
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123-4750
Mailing Address - Country:US
Mailing Address - Phone:847-695-6600
Mailing Address - Fax:847-695-4279
Practice Address - Street 1:745 FLETCHER DR STE 302
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-4750
Practice Address - Country:US
Practice Address - Phone:847-695-6600
Practice Address - Fax:847-695-4279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL4515536OtherBLUE SHIELD PROVIDER NO.
IL674750Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER