Active NPI
MVC-Chicago, S.C.
- Vascular Surgery Physician
- Chicago, IL
National Provider Identifier
1154602043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- Legal business name
- MVC-CHICAGO, S.C.
- Practice address
- 680 N Lake Shore Dr Suite 104
Chicago, IL 60673-1050 - Phone
- (312) 819-5901
- NPI assigned
- Sep 6, 2011
- Last updated
- Oct 25, 2019
- 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
- Dr. James Wright, MD
- Title
- President
- Phone
- (630) 322-9126
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | NU | Primary | |
| Phlebology Physician | 202K00000X | NU |
Addresses
Primary practice location
680 N Lake Shore Dr Suite 104
Chicago, IL 60673-1050
Mailing address
2001 Butterfield Rd
Suite 100
Downers Grove, IL 60515-1050
Phone (630) 322-9126
National Provider Directory
National Provider DirectoryLocations
25857 Network Pl
Chicago, IL 60673
680 N Lake Shore Dr
Ste 104
Chicago, IL 60611
Phone 3128195901 ext. 1400
2001 Butterfield Rd
Ste 100
Downers Grove, IL 60515
Phone (630) 322-9126
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Adult Health Nurse Practitioner
- Arlington Heights, IL
- NPI 1457719833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1571961600000",
"number": "1154602043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 BUTTERFIELD RD",
"address_2": "SUITE 100",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151050",
"telephone_number": "630-322-9126",
"fax_number": "630-322-9128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 N LAKE SHORE DR SUITE 104",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606731050",
"telephone_number": "312-819-5901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MVC-CHICAGO, S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-06",
"last_updated": "2019-10-25",
"status": "A",
"authorized_official_last_name": "WRIGHT",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-322-9126",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "202K00000X",
"taxonomy_group": "",
"desc": "Phlebology",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, 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.