Provider Demographics
NPI:1255029567
Name:VEIN SPECIALISTS OF GENEVA LTD.
Entity type:Organization
Organization Name:VEIN SPECIALISTS OF GENEVA LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KERN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:630-425-0800
Mailing Address - Street 1:1792 S RANDALL RD
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:IL
Mailing Address - Zip Code:60134-4602
Mailing Address - Country:US
Mailing Address - Phone:630-425-0800
Mailing Address - Fax:630-425-0799
Practice Address - Street 1:1792 S RANDALL RD
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:IL
Practice Address - Zip Code:60134-4602
Practice Address - Country:US
Practice Address - Phone:630-425-0800
Practice Address - Fax:630-425-0799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-25
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty