Organization Active NPI

Vintage Home Visiting Physicians

  • Community Health Clinic/Center
  • Wheaton, IL
National Provider Identifier
1073847893
Registry record updated Sep 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
336055456 Issued in IL
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2009

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.