CHICAGO ANTI-AGING AND VEIN SPECIALISTS LLC (NPI# 1871870683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871870683 |
| Entity Type | Organization |
| Organization Name | CHICAGO ANTI-AGING AND VEIN SPECIALISTS LLC |
| Practice Address |
905 Tamer Ln Glenview IL 60025-3768 |
| Mailing Address |
2921 W Devon Ave Chicago IL 60659-1507 |
| Practice Telephone | 8479047500 |
| Mailing Telephone | 3127295522 |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2011-11-08 |
| Authorized Official Name | LANA MOSHKOVICH (CMM, CPC, CEMC) |
| Authorized Official Telephone | 8479047500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036.124097 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
905 TAMER LN |
| City | GLENVIEW |
| State | IL |
| Zip Code | 60025-3768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790287118 | Nl Speech and Language Path LLC | Speech-Language Pathologist | 1315 Sherwood Rd., Glenview, IL 60025 | 2018-03-01 |
| 1982128021 | Quinn Goodwin | Speech-Language Pathologist | 41 Waukegan Rd., Glenview, IL 60025 | 2017-07-31 |
| 1447773684 | Roshni Jaimon | Nurse Practitioner | 616 Meadow Dr, Glenview, IL 60025 | 2017-07-19 |
| 1053840488 | Progressive Behavior Solutions LLC | Behavioral Analyst | 2519 Allison Court, Glenview, IL 60025 | 2017-06-08 |
| 1720529969 | Catherine Marquard | Social Worker | 1949 Robincrest Ln, Glenview, IL 60025 | 2017-03-20 |
| 1073055398 | Imad Dababneh | Optometrist | 4150 Williamsburg Ct. Apt 101, Glenview, IL 60025 | 2016-11-17 |
| 1417400565 | Megan Bowman | Nutritionist | 1332 Waukegan Rd., Glenview, IL 60025 | 2016-07-25 |
| 1548621402 | Integrated Care Servises Corp | In Home Supportive Care | 4001 Amalfi Dr., Glenview, IL 60025 | 2016-03-18 |
| 1003277237 | Caring Nurses, Inc | Home Health | 1701 East Lake Ave, Suite 360, Glenview, IL 60025 | 2016-03-16 |
| 1033570841 | Sumy Johny | Pharmacist | 25 Waukegan Road, Glenview, IL 60025 | 2016-03-08 |
| Find all providers in zip 60025 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295180263 | Elite Home Physicians LLC | Family Medicine | 1245 Milwaukee Ave, Ste#300, Glenview, IL 60025-2400 | 2016-04-27 |
| 1679510812 | Jasmine Chao | Family Medicine | 1308 Waukegan Rd, Suite 202, Glenview, IL 60025-3070 | 2006-05-31 |
| 1043266307 | Leslie Mendoza Temple | Family Medicine | 2400 Chestnut Ave, Suite A, Glenview, IL 60026-8321 | 2006-05-26 |
| 1417935057 | Scott J Meyer | Family Medicine | 2550 Compass Rd Ste C&d, Glenview, IL 60026-1610 | 2006-01-04 |
| 1053392589 | Deborah Elizabeth Miller | Family Medicine | 2050 Pfingsten Rd Ste 200, Glenview, IL 60026 | 2005-11-10 |
| 1699247502 | Northwestern Memorial Hospital | Family Medicine | 2701 Patriot Blvd, Glenview, IL 60026-8039 | 2018-12-18 |
| 1417442971 | Gess Suboc | Family Medicine | 2050 Pfingsten Rd, Glenview, IL 60026-1324 | 2018-06-27 |
| 1104310325 | Rachael Libertin | Family Medicine | 2050 Pfingsten Rd, Glenview, IL 60026-1324 | 2018-06-20 |
| 1033603840 | Taisha Doo | Family Medicine | 2050 Pfingsten Rd, Glenview, IL 60026-1324 | 2018-06-15 |
| 1285016410 | Sarah Stombaugh | Family Medicine | 2050 Pfingsten Rd, Suite 200, Glenview, IL 60026-1324 | 2015-06-24 |
| Find all providers in GLENVIEW | ||||
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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.