Charming Skin Vein Center LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CHARMING SKIN VEIN CENTER LLC

Practice address

5907 W 63Rd St
Chicago, IL 60638-5409

Phone

(708) 966-4820

Fax

(888) 460-3322

NPI assigned

Oct 3, 2022

Organization subpart

No

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

Authorized official

Name

Jawdat Abboud, MDNPI 1417964370

Title

Medical Director

Phone

(708) 966-4820

Specialties & licenses 1

Addresses

Other names 2

• Charming Skin Vein Center LLC Other name
• none Other name

Electronic endpoints 2

Practitioners 1

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

• Jawdat Abboud, MD

  • Primary Care Clinic/Center
  • Oak Brook, IL
  • NPI 1417964370
  NPD Authorized official

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1497479331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5907 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606385409",
            "telephone_number": "708-966-4820",
            "fax_number": "888-460-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5907 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606385409",
            "telephone_number": "708-966-4820",
            "fax_number": "888-460-3322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2425 W 22nd St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Oak Brook",
            "state": "IL",
            "postal_code": "605234650",
            "country_code": "US",
            "telephone_number": "630-974-1400",
            "fax_number": "888-466-3320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHARMING SKIN VEIN CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-03",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "ABBOUD",
        "authorized_official_first_name": "JAWDAT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "708-966-4820",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "n/u",
            "affiliation": "N",
            "endpointDescription": "n/a",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "none",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "none",
            "address_1": "5907 W 63rd St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606385409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "none",
            "affiliation": "N",
            "endpointDescription": "none",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "none",
            "address_1": "5907 W 63rd St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606385409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Charming Skin Vein Center LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Charming Skin Vein Center LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "none",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dona Charlot
• Charlotte M. Covello, DPM,LLC
• Michael Charlton
• Charm ABA Collaborative LLC
• Nicholas Donald Charmelo
• Sydney Charneski, DMD
• Wendy Charness, PHD
• Elizabeth Charney
• Kirsten S Charnond, M.D.
• Angella Charnot-Katsikas, M.D.

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.