Illinois Vein Specialists SC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ILLINOIS VEIN SPECIALISTS SC

Practice address

22285 Pepper Road
Suite 105
Barrington, IL 60010-2640

Phone

(847) 277-9100

Fax

(847) 277-9110

NPI assigned

Jun 17, 2009

Last updated

Mar 24, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephen P. Rivard, M.D.NPI 1962416321

Title

President

Phone

(847) 277-9100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen Paul Rivard, M.D.

  • Specialist
  • Lake Barrington, IL
  • NPI 1962416321
  Medicare reassignment NPD Authorized official
• Jack B Perlmutter, M.D.

  • Specialist
  • Lake Barrington, IL
  • NPI 1578559019
  Medicare reassignment NPD

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427155200000",
    "number": "1619104692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22285 N PEPPER RD",
            "address_2": "SUITE 105",
            "city": "LAKE BARRINGTON",
            "state": "IL",
            "postal_code": "600102538",
            "telephone_number": "847-277-9100",
            "fax_number": "847-277-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22285 PEPPER ROAD",
            "address_2": "SUITE 105",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600102640",
            "telephone_number": "847-277-9100",
            "fax_number": "847-277-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS VEIN SPECIALISTS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-17",
        "last_updated": "2015-03-24",
        "status": "A",
        "authorized_official_last_name": "RIVARD",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-277-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dinara Hyland, NP
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• Illinois Pain Treatment Institute, LTD
• David Andrew Ingram, D.D.S
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• Integrated Medical and Community Health Services Inc.
• International Translators and Interpreters

• Specialist in Barrington, IL
• Providers in Barrington, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.