Salt Creek Vein Treatment Center LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SALT CREEK VEIN TREATMENT CENTER LLC

Doing business as

Hinsdale Vein Institute

Practice address

777 Oakmont LN
Suite 1200
Westmont, IL 60559-5511

Phone

(630) 522-2550

Fax

(630) 323-0499

NPI assigned

Feb 18, 2008

Organization subpart

No

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

Authorized official

Name

Mr. C David Little

Title

Administrator

Phone

(630) 522-2550

Specialties & licenses 1

Addresses

Other names 1

• Hinsdale Vein Institute Doing business as

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

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1235307877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 OAKMONT LN",
            "address_2": "SUITE 1200",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595511",
            "telephone_number": "630-522-2550",
            "fax_number": "630-323-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 OAKMONT LN",
            "address_2": "SUITE 1200",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595511",
            "telephone_number": "630-522-2550",
            "fax_number": "630-323-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALT CREEK VEIN TREATMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-18",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "C",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "630-522-2550",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hinsdale Vein Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rashida H Saboowala
• David Sachtleben, MD
• Myriam Sakho-Castanou
• Carolina Salazar-Prado, LSW
• Salt Creek Medical Imaging, LLC
• Karl John Samonte, PT
• Jamie Sanberg
• Elizabeth Sanchez, BCBA 1-24-76845
• Elizabeth Renae Santiago
• Gerson Santizo, MSN, APRN, PMHNP-BC

• Clinic/Center in Westmont, IL
• Providers in Westmont, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.