Organization Active NPI

Clear Vein Center, SC

  • Medical Specialty Clinic/Center
  • Glenview, IL
National Provider Identifier
1104166701
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
036100829 Issued in IL
Legal business name
CLEAR VEIN CENTER, SC
Practice address
1247 Milwaukee Ave
Glenview, IL 60025-2464
Phone
(847) 813-5404
NPI assigned
Feb 19, 2013
Last updated
Feb 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2013

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

Authorized official

Name
Yariv Cohen, MD
Title
President
Phone
(773) 562-4582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 036100829 IL Primary

Addresses

Primary practice location

1247 Milwaukee Ave
Glenview, IL 60025-2464

Mailing address

1247 Milwaukee Ave
Glenview, IL 60025-2464
Phone (847) 813-5404

National Provider Directory

National Provider Directory
Tax ID family
Clear Vein Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361232000000",
    "number": "1104166701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1247 MILWAUKEE AVE",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252464",
            "telephone_number": "847-813-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1247 MILWAUKEE AVE",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252464",
            "telephone_number": "847-813-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR VEIN CENTER, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-19",
        "last_updated": "2013-02-19",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "YARIV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-562-4582",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": "036100829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; 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.