NPIMap

Organization Active NPI

Dimitrina Vizinas LTD

  • Family Medicine Physician
  • Park Ridge, IL
National Provider Identifier
1316310956
Registry record updated Jan 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036138515 Issued in IL
Legal business name
DIMITRINA VIZINAS LTD
Practice address
1440 Renaissance Dr
Ste 300
Park Ridge, IL 60068-1356
Phone
(847) 207-8593
Fax
(847) 803-1806
NPI assigned
Nov 4, 2015
Last updated
Jan 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2016

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

Authorized official

Name
Dimitrina G Vizinas, D.O.NPI 1043586852
Title
President
Phone
(847) 207-8593

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 036138515 IL
Family Medicine Physician 207Q00000X 036138515 IL Primary

Addresses

Primary practice location

1440 Renaissance Dr
Ste 300
Park Ridge, IL 60068-1356

Mailing address

1440 Renaissance Dr
Ste 300
Park Ridge, IL 60068-1356
Phone (847) 207-8593

National Provider Directory

National Provider Directory

Locations

1440 Renaissance Dr
Ste 300
Park Ridge, IL 60068
Phone (847) 207-8593

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.

NPI Registry JSON

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451865600000",
    "number": "1316310956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 RENAISSANCE DR",
            "address_2": "STE 300",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681356",
            "telephone_number": "847-207-8593",
            "fax_number": "847-803-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 RENAISSANCE DR",
            "address_2": "STE 300",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681356",
            "telephone_number": "847-207-8593",
            "fax_number": "847-803-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIMITRINA VIZINAS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-04",
        "last_updated": "2016-01-04",
        "status": "A",
        "authorized_official_last_name": "VIZINAS",
        "authorized_official_first_name": "DIMITRINA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-207-8593",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "036138515",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036138515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; 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.