MVC-CHICAGO, S.C. (NPI# 1154602043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154602043 |
| Entity Type | Organization |
| Organization Name | MVC-CHICAGO, S.C. |
| Practice Address |
680 N Lake Shore Dr Suite 104 Chicago IL 60673-1050 |
| Mailing Address |
2001 Butterfield Rd Suite 100 Downers Grove IL 60515-1050 |
| Practice Telephone | 3128195901 |
| Mailing Telephone | 6303229126 |
| Mailing Fax Number | 6303229128 |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2019-10-25 |
| Authorized Official Name | DR. JAMES WRIGHT (PRESIDENT) |
| Authorized Official Telephone | 6303229126 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 202K00000X | Phlebology | Allopathic & Osteopathic Physicians | ||
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
680 N LAKE SHORE DR SUITE 104 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60673-1050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912091182 | Jessica J Kandel | Surgery | 5841 S. Maryland Ave, University of Chicago, Section of Pediatric Surgery, Chicago, IL 60673 | 2006-10-03 |
| 1376933119 | First Script Network Services | Pharmacy | 24160 Network Pl, Chicago, IL 60673-1241 | 2015-02-02 |
| 1982982096 | Kanika Sood | Obstetrics & Gynecology | 26460 Network Pl, Chicago, IL 60673-1264 | 2011-07-25 |
| 1629494224 | Mount Sinai Community Foundation | Internal Medicine | 26460 Network Pl, Chicago, IL 60673-1264 | 2014-03-07 |
| 1356779532 | Mount Sinai Community Foundation | Obstetrics & Gynecology | 26460 Network Pl, Chicago, IL 60673-1264 | 2013-10-24 |
| 1255778122 | Smg At Sci -obgyn | Obstetrics & Gynecology | 2653 W Ogden Ave, Chicago, IL 60673-1264 | 2013-05-31 |
| 1558462531 | Kurt P Heinking | Neuromusculoskeletal Medicine & OMM | 26520 Network Pl, Chicago, IL 60673-1265 | 2006-09-25 |
| 1194223099 | Regional Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 29194 Network Pl, Chicago, IL 60673-1291 | 2018-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083414 | Cedomir Micic | Pharmacist | 1111 W 14th Pl Unit 126, Chicago, IL 60608-2796 | 2020-11-07 |
| 1780285429 | Lily Heine | Speech-Language Pathologist | 1425 W Albion Ave Apt 3, Chicago, IL 60626-5022 | 2020-11-07 |
| 1295336022 | Web Healing Collective Pllc | Social Worker | 6207 N Springfield Ave, Chicago, IL 60659-1015 | 2020-11-06 |
| 1609477579 | Shantrell Patrice Sutton | Counselor | 5042 W Erie St, Chicago, IL 60644-1604 | 2020-11-05 |
| 1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
| 1730780602 | Saba Aqel | Counselor | 107 W Van Buren St Ste 215, Chicago, IL 60605-1054 | 2020-11-05 |
| 1558962720 | Christine Nance | Registered Nurse | 125 W 109th St, Chicago, IL 60628-3432 | 2020-11-04 |
| 1265033385 | Carolle M Derradji | Nurse Practitioner | 3256 W Potomac Ave, Chicago, IL 60651-2411 | 2020-11-04 |
| 1598366726 | Frankie O'brien | Dietitian, Registered | 2551 N Clark St Ste 400, Chicago, IL 60614-7725 | 2020-11-04 |
| 1104427293 | Katie Michelle O'halloran | Nurse Practitioner | 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 | 2020-11-04 |
| Find all providers in CHICAGO | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396267324 | Congress Vascular Center LLC | Surgery | 41 W Congress Pkwy Fl 1, Chicago, IL 60605-1531 | 2017-07-11 |
| 1235454968 | Margaret Claire Rigamer | Surgery | 1901 W Harrison St Dept Of, Chicago, IL 60612-3714 | 2010-04-06 |
| 1255536355 | Omar Morcos | Surgery | 840 S Wood St # 958, Chicago, IL 60612-4325 | 2007-06-19 |
| 1497890750 | Balasubramaniam S Iyer | Surgery | 1945 W Wilson Avenue, Suite #2115, Chicago, IL 60640-5255 | 2007-02-21 |
| 1013079367 | Karen J. Ho | Surgery | 676 N Saint Clair St Ste 650, Chicago, IL 60611-2929 | 2006-12-14 |
| 1225075104 | Daniel Katz, M.d., L.L.C. | Surgery | 4696 N Marine Dr, Suite 5b, Chicago, IL 60640-5714 | 2006-06-01 |
| 1285602805 | Amy Reed | Surgery | 4700 N Marine Dr Ste 315, Chicago, IL 60640-7976 | 2006-03-09 |
| 1821098542 | Shelly Lynne Bledsoe | Surgery | 2306 E 75th St, Chicago, IL 60649-3306 | 2005-07-22 |
| 1760019905 | Margaret Ann Reilly | Surgery | 251 E Huron St, Chicago, IL 60611-3055 | 2020-03-26 |
| 1124588264 | Calvin Chao | Surgery | 251 E Huron St, Chicago, IL 60611-2908 | 2019-03-24 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.