Active NPI
Danada Vein Care SC
- Phlebology Physician
- Wheaton, IL
National Provider Identifier
1649026196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebology Physician
- Legal business name
- DANADA VEIN CARE SC
- Practice address
- 180 Danada SQ W
Wheaton, IL 60189-2041 - Phone
- (630) 474-2600
- Fax
- (630) 474-2601
- NPI assigned
- Apr 25, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sean McWilliams, MD
- Title
- Owner
- Phone
- (630) 474-2600
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebology Physician | 202K00000X | Primary | ||
| Family Medicine Physician | 207Q00000X |
Addresses
Primary practice location
180 Danada SQ W
Wheaton, IL 60189-2041
Mailing address
180 Danada SQ W
Wheaton, IL 60189-2041
Phone (630) 474-2600
Other names 1
- McWilliams Vein Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
180 Danada Sq W
Wheaton, IL 60189
Phone (630) 474-2600
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Phlebology Physician
- Wheaton, IL
- NPI 1356323398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714003200000",
"number": "1649026196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 DANADA SQ W",
"city": "WHEATON",
"state": "IL",
"postal_code": "601892041",
"telephone_number": "630-474-2600",
"fax_number": "630-474-2601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 DANADA SQ W",
"city": "WHEATON",
"state": "IL",
"postal_code": "601892041",
"telephone_number": "630-474-2600",
"fax_number": "630-474-2601"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANADA VEIN CARE SC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-25",
"last_updated": "2024-04-25",
"certification_date": "2024-04-25",
"status": "A",
"authorized_official_last_name": "MCWILLIAMS",
"authorized_official_first_name": "SEAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "630-474-2600",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "202K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Phlebology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "McWilliams Vein Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.