Vinac Medical Center SC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036103295 Issued in IL

Legal business name

VINAC MEDICAL CENTER SC

Practice address

2032 W Cermak Rd
Chicago, IL 60608-4116

Phone

(773) 247-8855

NPI assigned

Jan 28, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Vicente Eugenio Cardenas, M.D

Title

President

Phone

(773) 247-8855

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ma Daphane Rafanan, LPT

  • Physical Therapist
  • Chicago, IL
  • NPI 1215026356
  NPD (past)

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233100800000",
    "number": "1104064260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2032 W CERMAK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606084116",
            "telephone_number": "773-247-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2032 W CERMAK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606084116",
            "telephone_number": "773-247-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINAC MEDICAL CENTER SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-28",
        "last_updated": "2009-01-28",
        "status": "A",
        "authorized_official_last_name": "CARDENAS",
        "authorized_official_first_name": "VICENTE",
        "authorized_official_middle_name": "EUGENIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-247-8855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036103295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Villegas
• Sheyla Elizabeth Villena, M.D.
• Sophia Villenas, LPC
• Sandra J. Villwock, LCSW
• Jean Taj Vilus
• Katherine M Vinaitheerthan, LCSW
• Patricia A Vinaja, P.T.
• Jorge Vinales, MD
• Austin Vince
• Vincent Domingo DC CSCS Professional Corporation

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.