Vein Care Institute, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

VEIN CARE INSTITUTE, LLC

Practice address

3736 W 26TH St
Chicago, IL 60623-3826

Phone

(773) 277-1100

NPI assigned

Feb 8, 2008

Organization subpart

No

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

Authorized official

Name

Eugene M Tanquilut, D.O.

Title

Member

Phone

(708) 305-0248

Specialties & licenses 1

Addresses

Other names 1

• Premier Vascular Laboratory Doing business as

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1285812529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16406 PEPPERWOOD TRL",
            "city": "ORLAND HILLS",
            "state": "IL",
            "postal_code": "604875644",
            "telephone_number": "708-305-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3736 W 26TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606233826",
            "telephone_number": "773-277-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEIN CARE INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "TANQUILUT",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "708-305-0248",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Vascular Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joshua Steven Vega
• Octavio Alejandro Vega, M.D.
• Rosa Vega
• Deborah Vege, MSW,LCSW
• Karina Veikos
• Vein Care Specialists, LTD
• Vein Care Specialists. LTD
• Vein Clinics of Chicago LLC
• Vein Clinics of Illinois S.C.
• Vein Perfection

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.