Active NPI
Vintage Home Visiting Physicians
- Community Health Clinic/Center
- Wheaton, IL
National Provider Identifier
1073847893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- License
- 336055456
- Legal business name
- VINTAGE HOME VISITING PHYSICIANS
- Practice address
- 7 Blanchard Cir
Suite 103
Wheaton, IL 60189-2037 - Phone
- (773) 368-3499
- Fax
- (630) 260-1035
- NPI assigned
- Sep 25, 2009
- Last updated
- Sep 25, 2009
- 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
- Oliver Akano
- Title
- Administrator
- Phone
- (773) 368-3499
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | 336055456 | IL | Primary |
Addresses
Primary practice location
7 Blanchard Cir
Suite 103
Wheaton, IL 60189-2037
Mailing address
7 Blanchard Cir
Suite 103
Wheaton, IL 60189-2037
Phone (773) 368-3499
National Provider Directory
National Provider DirectoryLocations
7 Blanchard Cir
Ste 1
Wheaton, IL 60189
Phone (630) 517-0191
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253836800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1253836800000",
"number": "1073847893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 BLANCHARD CIR",
"address_2": "SUITE 103",
"city": "WHEATON",
"state": "IL",
"postal_code": "601892037",
"telephone_number": "773-368-3499",
"fax_number": "630-260-1035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 BLANCHARD CIR",
"address_2": "SUITE 103",
"city": "WHEATON",
"state": "IL",
"postal_code": "601892037",
"telephone_number": "773-368-3499",
"fax_number": "630-260-1035"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VINTAGE HOME VISITING PHYSICIANS",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-25",
"last_updated": "2009-09-25",
"status": "A",
"authorized_official_last_name": "AKANO",
"authorized_official_first_name": "OLIVER",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "773-368-3499"
},
"taxonomies": [
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": "IL",
"license": "336055456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.