Advanced Vein and Laser Centre,LTD

Primary specialty

SpecialistTaxonomy code 174400000X

License

042618365 Issued in IL

Legal business name

ADVANCED VEIN AND LASER CENTRE,LTD

Practice address

1800 Hollister Dr
Ste 121
Libertyville, IL 60048-5263

Phone

(847) 367-4040

Fax

(847) 367-4848

NPI assigned

Jun 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Richard D Rosenfeld, M.D

Title

President

Phone

(847) 367-4040

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Kathleen I Papazian, DO

  • Emergency Medical Services (Emergency Medicine) Physician
  • McHenry, IL
  • NPI 1780636720
  NPD (past)

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1437194909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 HOLLISTER DR",
            "address_2": "STE 121",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485263",
            "telephone_number": "847-367-4040",
            "fax_number": "847-367-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 HOLLISTER DR",
            "address_2": "STE 121",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485263",
            "telephone_number": "847-367-4040",
            "fax_number": "847-367-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED VEIN AND LASER CENTRE,LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "ROSENFELD",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-367-4040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "042618365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "04932355",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellen Cristine Adler, MS CCC-SLP
• Advanced Diabetes & Endocrince Center, P.C.
• Advanced Eyecare Consultants, Inc
• Advanced Health Services, Inc.
• Advanced Peritoneal Dialysis Center
• Advantage Anesthesia P.C.
• Advocate Condell Ambulatory Surgery Center, LLC
• Advocate Condell Medical Center
• Advocate Condell Medical Center (Advocate Condell Medical Center Pharmacy)
• Advocate Health and Hospitals Corporation (Advocate Medical Group)

• Specialist in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.