Organization Active NPI

Varicose Solutions LLC

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1265758569
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036110036 Issued in IL
Legal business name
VARICOSE SOLUTIONS LLC
Practice address
4959 W Belmont Ave
Suite S
Chicago, IL 60641-4332
Phone
(773) 628-7413
Fax
(773) 628-7582
NPI assigned
Apr 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2012

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

Authorized official

Name
Juan Fernando Zapata, MD
Title
MD
Phone
(773) 628-7413

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 036110036 IL Primary

Addresses

Primary practice location

4959 W Belmont Ave
Suite S
Chicago, IL 60641-4332

Mailing address

4959 W Belmont Ave
Suite S
Chicago, IL 60641-4332
Phone (773) 628-7413

Other identifiers 1

IdentifierTypeStateIssuer
1601328OtherILBCBS OF IL

National Provider Directory

National Provider Directory

Locations

7107 W Belmont Ave
Ste 2
Chicago, IL 60634
Phone (773) 237-2229

4959 W Belmont Ave
Ste S
Chicago, IL 60641
Phone (773) 417-3411

NPI Registry JSON

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1265758569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4959 W BELMONT AVE",
            "address_2": "SUITE S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414332",
            "telephone_number": "773-628-7413",
            "fax_number": "773-628-7582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4959 W BELMONT AVE",
            "address_2": "SUITE S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414332",
            "telephone_number": "773-628-7413",
            "fax_number": "773-628-7582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VARICOSE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-12",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "ZAPATA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "FERNANDO",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "773-628-7413",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036110036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "1601328",
            "state": "IL"
        }
    ],
    "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 May 16, 2012; 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.