Active NPI
SW Suburban - Midwest Vascular Center, S. C.
- Phlebology Physician
- Orland Park, IL
National Provider Identifier
1053511840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebology Physician | 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 DirectoryLocations
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.