CHICAGO VASCULAR ASC LLC (NPI# 1538692876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538692876 |
Entity Type | Organization |
Organization Name | CHICAGO VASCULAR ASC LLC |
Practice Address |
700 Pasquinelli Dr Westmont IL 60559-1382 |
Mailing Address |
40 Valley Stream Pkwy Suite 100 Malvern PA 19355-1407 |
Practice Telephone | 6303238690 |
Practice Fax Number | 6303238657 |
Mailing Telephone | 6106448900 |
Enumeration Date | 2017-04-04 |
Last Update Date | 2017-07-03 |
Authorized Official Name | DR. ANGELO MAKRIS (AUTHORIZED OFFICIAL) |
Authorized Official Telephone | 6303238690 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
Street Address |
700 PASQUINELLI DR |
City | WESTMONT |
State | IL |
Zip Code | 60559-1382 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053336156 | Angelo Makris | Radiology | 700 Pasquinelli Dr, Westmont, IL 60559-1382 | 2006-07-12 |
1134406291 | Makrismd LLC | Radiology | 700 Pasquinelli Dr, Westmont, IL 60559-1382 | 2011-11-03 |
1134388770 | Saumil Shah | Radiology | 700 Pasquinelli Dr, Westmont, IL 60559-1382 | 2008-06-09 |
1972513372 | Mariann Herbert | Obstetrics & Gynecology | 700 Pasquinelli Dr, Suite B, Westmont, IL 60559-1382 | 2006-08-08 |
1487673448 | Jonathan Levine | Radiology | 700 Pasquinelli Dr, Westmont, IL 60559-1382 | 2006-07-19 |
1336169093 | Gregory Souza | Nurse Anesthetist, Certified Registered | 700 Pasquinelli Dr, Westmont, IL 60559-1382 | 2006-07-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598366874 | Rachel Stoffregen | Physical Therapist | 812 East Ogden Ave, Westmont, IL 60559 | 2020-11-04 |
1528672581 | Kera C Evans | Counselor | 414 Plaza Dr. Suite 301, Westmont, IL 60559 | 2020-09-06 |
1912403023 | Bianca J Dassinger | Social Worker | 750 Pasquinelli Drive, #204, Westmont, IL 60559 | 2018-04-05 |
1689192163 | Jeannie Marie Gorman | Nutritionist | 310 W. Burlington Ave, Westmont, IL 60559 | 2017-09-05 |
1326563248 | Bethany Juby | Psychologist | 825 N Cass Ave Ste 112, Westmont, IL 60559 | 2017-08-11 |
1861917189 | Marisa Raineri | Physical Therapist | 750 Pasquinelli Dr., #204, Westmont, IL 60559 | 2017-08-08 |
1093185209 | Kristin Kalivoda | Pharmacy Technician | 2 N. Cass Avenue, Westmont, IL 60559 | 2015-09-30 |
1780076679 | Katherine Celine Smith | Nurse Practitioner | 1010 Executive Drive, Suite 200, Westmont, IL 60559 | 2015-03-02 |
1841690898 | Kimberly Libby | Physical Therapist | 801 N Cass Ave Ste 100, Westmont, IL 60559 | 2014-08-27 |
1083036792 | Deborah Carsten | Counselor | 460 Quail Ridge Drive, Westmont, IL 60559 | 2014-01-15 |
Find all providers in zip 60559 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295897106 | Westmont Surgery Center LLC | Clinic/Center | 530 N Cass Ave, Westmont, IL 60559-1503 | 2006-12-15 |
1497706626 | Chicago Prostate Cancer Surgery Center, LLC | Clinic/Center | 815 Pasquinelli Dr, Westmont, IL 60559-1276 | 2006-05-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184245375 | Specialty Surgicare, Ltd | Clinic/Center | 500 W Golf Rd Ste 102, Schaumburg, IL 60195-3503 | 2020-04-29 |
1245862002 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 3301 Broadway St., Quincy, IL 62301 | 2020-02-10 |
1619519535 | Anderson Surgery Center LLC | Clinic/Center | 3403 Anderson Healthcare Drive, Edwardsville, IL 62025 | 2019-10-11 |
1922664622 | Premier Cardiac Surgery Center, LLC | Clinic/Center | 11560 S Kedzie Ave Ste 102, Merrionette Park, IL 60803-4517 | 2019-05-17 |
1487115804 | Ontario Street Operatory Fac | Clinic/Center | 22 W Ontario Street Operatory, Chicago, IL 60654 | 2019-03-28 |
1477017333 | Ontario Street Operatory | Clinic/Center | 22 W Ontario St, Chicago, IL 60654-5169 | 2019-01-24 |
1407329501 | Chicago Cosmetic Surgery Institute | Clinic/Center | 2335 S Michigan Ave, Chicago, IL 60616-2104 | 2019-01-10 |
1538647474 | Palos Health Surgery Center, LLC | Clinic/Center | 15300 West Ave Ste 260, Orland Park, IL 60462-4600 | 2018-08-02 |
1013493824 | Ann & Robert H. Lurie Children's Hospital of Chicago | Clinic/Center | 1121 Techny Rd, Northbrook, IL 60062-5503 | 2018-07-15 |
1619469244 | Rush Oak Brook Surgery Center, LLC | Clinic/Center | 2011 York Road, Suite 3000, Oak Brook, IL 60521 | 2018-05-30 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on CHICAGO VASCULAR ASC LLC.
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.