Charming Skin Vein Center LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CHARMING SKIN VEIN CENTER LLC

Practice address

1100 Joliet St Ste 201
Dyer, IN 46311-1995

Phone

(630) 974-1400

Fax

(888) 466-3320

NPI assigned

Sep 26, 2022

Last updated

Jan 4, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jawdat Abboud, MDNPI 1417964370

Title

Medical Director

Phone

(630) 974-1400

Specialties & licenses 1

Addresses

Other names 1

• none Other name

Electronic endpoints 1

Locations

Practitioners 1

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.

• Jawdat Abboud, MD

  • Primary Care Clinic/Center
  • Oak Brook, IL
  • NPI 1417964370
  Authorized official Same address or phone

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1427771237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 JOLIET ST STE 201",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111995",
            "telephone_number": "630-974-1400",
            "fax_number": "888-466-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 JOLIET ST STE 201",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111995",
            "telephone_number": "630-974-1400",
            "fax_number": "888-466-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARMING SKIN VEIN CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "ABBOUD",
        "authorized_official_first_name": "JAWDAT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "630-974-1400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "none",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "none",
            "address_1": "1100 Joliet St Ste 201",
            "city": "Dyer",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463111995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "none",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "none",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Joseph E Chamberlain, LCSW
• Tae'Ni Chang-Stroman, M.D.
• Mark K Chang, M.D.
• Chariot of Hearts Transportation Services
• Christine C Chariton, LCSW
• Angela Chase
• Chatter Box PC
• Baljeet S Chhokar, R.PH
• Suyin CHI, MD
• Youngsam Choi

• Internal Medicine Physician in Dyer, IN
• Providers in Dyer, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.