Vaccine Clinics SC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

VACCINE CLINICS SC

Practice address

7257 N Lincoln Ave
Lincolnwood, IL 60712-1810

Phone

(917) 275-5134

NPI assigned

Sep 26, 2023

Organization subpart

No

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

Authorized official

Name

Judah Kanowitz

Title

Authorized Official

Phone

(917) 275-5134

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

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

• Vladimir Urbin, M.D.

  • General Practice Physician
  • Skokie, IL
  • NPI 1740570696
  Medicare reassignment NPD

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1619756889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7257 N LINCOLN AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121810",
            "telephone_number": "917-275-5134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7257 N LINCOLN AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121810",
            "telephone_number": "917-275-5134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VACCINE CLINICS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "KANOWITZ",
        "authorized_official_first_name": "JUDAH",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "917-275-5134"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Troppe, MS, LPC, PEL
• Denis Isaac Umeh, M.D.
• Shazia Umrani
• Universal Home Healthcare,LLC
• Uptown Nephrology Associates SC
• Michael Vaewhongs, M.D.
• Vanguard Behavioral Health
• Marley Vargas
• Nina J Vargas
• Sajoy Purathumuriyil Varghese, M.D

• General Practice Physician in Lincolnwood, IL
• Providers in Lincolnwood, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.