Organization Active NPI

Chicago Vein Institute S.C.

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1447343090
Registry record updated Dec 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036103665 Issued in IL
Legal business name
CHICAGO VEIN INSTITUTE S.C.
Practice address
4906 N. Western Ave.
Suite 2
Chicago, IL 60625
Phone
(773) 989-0562
Fax
(773) 506-7341
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2009

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

Authorized official

Name
Ms. Lejla M. Sunje, MBA
Title
Office Manager
Phone
(773) 989-0562

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 202K00000X 036103665 IL
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 036103665 IL Primary

Addresses

Primary practice location

4906 N. Western Ave.
Suite 2
Chicago, IL 60625

Mailing address

4906 N. Western Ave.
Suite 2
Chicago, IL 60625
Phone (773) 989-0562

National Provider Directory

National Provider Directory

Locations

4906 N Western Ave
Ste 2
Chicago, IL 60625
Phone (773) 989-0562

Practitioners & affiliated clinicians

Practitioners 1

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": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259625600000",
    "number": "1447343090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4906 N. WESTERN AVE.",
            "address_2": "SUITE 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60625",
            "telephone_number": "773-989-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4906 N. WESTERN AVE.",
            "address_2": "SUITE 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60625",
            "telephone_number": "773-989-0562",
            "fax_number": "773-506-7341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO VEIN INSTITUTE S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2009-12-01",
        "status": "A",
        "authorized_official_last_name": "SUNJE",
        "authorized_official_first_name": "LEJLA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "773-989-0562",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Phlebology",
            "state": "IL",
            "license": "036103665",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036103665",
            "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 Dec 1, 2009; 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.