Organization Active NPI

Midwest Vascular Center North Suburban S.C.

  • Phlebology Physician
  • Glenview, IL
National Provider Identifier
1154477990
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
Legal business name
MIDWEST VASCULAR CENTER NORTH SUBURBAN S.C.
Practice address
2601 Compass Rd
Suite 110
Glenview, IL 60026-8004
Phone
(847) 724-4141
Fax
(847) 724-4154
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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

Authorized official

Name
Dr. James G. Wright, M.D.
Title
President
Phone
(630) 322-9126

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X
Phlebology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 202K00000X Primary

Addresses

Primary practice location

2601 Compass Rd
Suite 110
Glenview, IL 60026-8004

Mailing address

2601 Compass Rd
Suite 110
Glenview, IL 60026-8004
Phone (847) 724-4141

National Provider Directory

National Provider Directory

Locations

2601 Compass Rd
Ste 11
Glenview, IL 60026
Phone (847) 724-4141

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571961600000",
    "number": "1154477990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 COMPASS RD",
            "address_2": "SUITE 110",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268004",
            "telephone_number": "847-724-4141",
            "fax_number": "847-724-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 COMPASS RD",
            "address_2": "SUITE 110",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268004",
            "telephone_number": "847-724-4141",
            "fax_number": "847-724-4154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST VASCULAR CENTER NORTH SUBURBAN S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2019-10-25",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "G.",
        "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": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Phlebology",
            "state": null,
            "license": null,
            "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 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.

Verify at the official NPI Registry.