Lake County Vein Specialists, SC

Primary specialty

Phlebology PhysicianTaxonomy code 202K00000X

Legal business name

LAKE COUNTY VEIN SPECIALISTS, SC

Practice address

1425 N Hunt Club Rd
Suite 202
Gurnee, IL 60031-2632

Phone

(630) 928-5234

NPI assigned

Mar 7, 2016

Organization subpart

No

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

Authorized official

Name

Dana Gray

Title

MD

Phone

(630) 928-5234

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457308800000",
    "number": "1457711269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 N HUNT CLUB RD",
            "address_2": "SUITE 202",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600312632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 N HUNT CLUB RD",
            "address_2": "SUITE 202",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600312632",
            "telephone_number": "630-928-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE COUNTY VEIN SPECIALISTS, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-07",
        "last_updated": "2016-03-07",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "630-928-5234"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Phlebology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake County General and Vascular Surgical Associates, P.C.
• Lake County Head and Neck Specialists S.C.
• Lake County Internal Medicine Assoc LLC
• Lake County Pediatrics SC
• Lake County Primary Care S.C.
• Lake Harbor Behavioral Health, LLC
• Lake Heart Specialists
• Lake Shore Gastroenterolgy SC
• Lake Shore Gastroenterology
• Lake Shore Internal Medicine SC

• Phlebology Physician in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Phlebology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; 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.