Organization Active NPI

SW Suburban - Midwest Vascular Center, S. C.

  • Phlebology Physician
  • Orland Park, IL
National Provider Identifier
1053511840
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
Legal business name
SW SUBURBAN - MIDWEST VASCULAR CENTER, S. C.
Practice address
10755 W 143Rd St
Orland Park, IL 60462-1900
Phone
(630) 322-9126
NPI assigned
Jul 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. James Wright, M.D.
Title
President
Phone
(630) 322-9126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 202K00000X Primary

Addresses

Primary practice location

10755 W 143Rd St
Orland Park, IL 60462-1900

Mailing address

2001 Butterfield Rd
Suite #100
Downers Grove, IL 60515-1050
Phone (630) 322-9126

National Provider Directory

National Provider Directory

Locations

Carol Stream, IL 60122

10755 W 143rd St
#59
Orland Park, IL 60462

14315 108th Ave
Ste 114
Orland Park, IL 60467
Phone (630) 322-9151

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571961600000",
    "number": "1053511840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD",
            "address_2": "SUITE #100",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151050",
            "telephone_number": "630-322-9126",
            "fax_number": "630-995-7965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10755 W 143RD ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604621900",
            "telephone_number": "630-322-9126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SW SUBURBAN - MIDWEST VASCULAR CENTER, S. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2019-10-25",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-322-9126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Phlebology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.