Venvisor Health Illinois LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

VENVISOR HEALTH ILLINOIS LLC

Practice address

1333 Burr Ridge Pkwy Ste 200
Burr Ridge, IL 60527-0833

Phone

(203) 567-5243

NPI assigned

Mar 26, 2020

Organization subpart

No

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

Authorized official

Name

Jacki Malden

Title

VP of Regional Operations

Phone

(203) 567-5243

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634256000000",
    "number": "1629605712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2533",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064848533",
            "telephone_number": "203-567-5243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 BURR RIDGE PKWY STE 200",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270833",
            "telephone_number": "203-567-5243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENVISOR HEALTH ILLINOIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-26",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A",
        "authorized_official_last_name": "MALDEN",
        "authorized_official_first_name": "JACKI",
        "authorized_official_title_or_position": "VP OF REGIONAL OPERATIONS",
        "authorized_official_telephone_number": "203-567-5243"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry L Vanden Hoek, MD
• Michael Vannier, MD
• James Vardiman, MD
• Natalija Vaznelis
• Monica B Vela, MD
• Cynthia Vera, M.D.
• Olivia Veselak
• Veteran Innovation LLC
• Roberto Alfredo Viau Colindres, MD
• Alicia Viera, PSY.D.

• Nurse Practitioner in Burr Ridge, IL
• Providers in Burr Ridge, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; 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.