Organization Active NPI

Midwest Vein and Vascular Centers

  • Adult Medicine Physician
  • Des Plaines, IL
National Provider Identifier
1447977301
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
MIDWEST VEIN AND VASCULAR CENTERS
Practice address
9700 E Golf Rd
Des Plaines, IL 60016-1566
Phone
(773) 482-5800
NPI assigned
Oct 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Authorized official

Name
David Kang, MD
Title
Medical Director
Phone
(580) 478-6347

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

9700 E Golf Rd
Des Plaines, IL 60016-1566

Mailing address

9680 Golf Rd
Des Plaines, IL 60016-1522
Phone (773) 482-5800

Other practice location 1

4354 W 63rd St
Chicago, IL 60629-5039
Phone (773) 482-5800

Other practice location 2

2923 N California Ave Ste 210
Chicago, IL 60618-4677
Phone (773) 482-5800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1666310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1447977301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9680 GOLF RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161522",
            "telephone_number": "773-482-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 E GOLF RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161566",
            "telephone_number": "773-482-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4354 W 63rd St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606295039",
            "country_code": "US",
            "telephone_number": "773-482-5800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2923 N California Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606184677",
            "country_code": "US",
            "telephone_number": "773-482-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIDWEST VEIN AND VASCULAR CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-21",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "580-478-6347",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.