Organization Active NPI

Vandana Badlani MD S.C.

  • Ophthalmology Physician
  • Chicago, IL
National Provider Identifier
1417253154
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
VANDANA BADLANI MD S.C.
Practice address
2266 N. Lincoln Avenue, LL
Chicago, IL 60614
Phone
(630) 512-1814
NPI assigned
Jan 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Authorized official

Name
Dr. Vandana Badlani, M.D.NPI 1427068352
Title
President
Phone
(630) 512-1814

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

2266 N. Lincoln Avenue, LL
Chicago, IL 60614

Mailing address

312 Ottawa LN
Oak Brook, IL 60523-2788
Phone (630) 512-1814

Other practice location 1

3059 W 26th St
Chicago, IL 60623-4131
Phone (630) 512-1814

Other practice location 2

2800 W Fulton St
Chicago, IL 60612-1737
Phone (630) 512-1814

Other practice location 3

2875 W 19th St
Chicago, IL 60623-3501
Phone (630) 512-1814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110614000145 IL Part B Supplier - Clinic/Group Practice 1658558994 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

2266 N Lincoln Ave
Bsmt Ll
Chicago, IL 60614
Phone (630) 512-1814

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1417253154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 OTTAWA LN",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232788",
            "telephone_number": "630-512-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2266 N. LINCOLN AVENUE, LL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60614",
            "telephone_number": "630-512-1814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3059 W 26th St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606234131",
            "country_code": "US",
            "telephone_number": "630-512-1814",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 W Fulton St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606121737",
            "country_code": "US",
            "telephone_number": "630-512-1814",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2875 W 19th St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606233501",
            "country_code": "US",
            "telephone_number": "630-512-1814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VANDANA BADLANI MD S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-27",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "BADLANI",
        "authorized_official_first_name": "VANDANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-512-1814",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.