Organization Active NPI

Victory Medical of Illinois PC

  • Vascular Surgery Physician
  • Chicago, IL
National Provider Identifier
1467393926
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
VICTORY MEDICAL OF ILLINOIS PC
Practice address
8630 S Pulaski Rd
Chicago, IL 60652-3633
Phone
(773) 897-7700
Fax
(773) 897-7711
NPI assigned
Apr 1, 2026
Last updated
Aug 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Authorized official

Name
Heather Brame
Title
Authorized Officia/Contracting and
Phone
(210) 287-7725

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X NU Primary

Addresses

Primary practice location

8630 S Pulaski Rd
Chicago, IL 60652-3633

Mailing address

8630 South Pulaski Rd
Chicago, IL 60652-3633
Phone (773) 897-7700

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1775001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1467393926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8630 SOUTH PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606523633",
            "telephone_number": "773-897-7700",
            "fax_number": "773-897-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8630 S PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606523633",
            "telephone_number": "773-897-7700",
            "fax_number": "773-897-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY MEDICAL OF ILLINOIS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-01",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "BRAME",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIA/CONTRACTING AND",
        "authorized_official_telephone_number": "210-287-7725"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "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 Aug 27, 2026; 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.