Active NPI
Pacific Vein Care, LLC
- Vascular & Interventional Radiology Physician
- McHenry, IL
National Provider Identifier
1649405200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- Legal business name
- PACIFIC VEIN CARE, LLC
- Practice address
- 3929 Mercy Dr
McHenry, IL 60050-3151 - Phone
- (815) 759-2368
- Fax
- (815) 759-2367
- NPI assigned
- May 26, 2009
- 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
- Dr. Ernest A Conti, M.D.
- Title
- Lead Physician
- Phone
- (815) 759-0800
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | Primary |
Addresses
Primary practice location
3929 Mercy Dr
McHenry, IL 60050-3151
Mailing address
3929 Mercy Dr
McHenry, IL 60050-3151
Phone (815) 759-2368
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
445 Park Ave
Ste P
Cary, IL 60013
Phone (815) 236-8907
10350 Haligus Rd
#201
Huntley, IL 60142
Phone (847) 802-7881
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- McHenry, IL
- NPI 1033133426
-
- Diagnostic Radiology Physician
- Normal, IL
- NPI 1811156391
-
- Diagnostic Radiology Physician
- McHenry, IL
- NPI 1225290802
-
- Emergency Medical Services (Emergency Medicine) Physician
- McHeny, IL
- NPI 1588678015
-
- Vascular & Interventional Radiology Physician
- Arlington Heights, IL
- NPI 1831328038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243296000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1371600000000",
"number": "1649405200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3929 MERCY DR",
"city": "MCHENRY",
"state": "IL",
"postal_code": "600503151",
"telephone_number": "815-759-2368",
"fax_number": "815-759-2367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3929 MERCY DR",
"city": "MCHENRY",
"state": "IL",
"postal_code": "600503151",
"telephone_number": "815-759-2368",
"fax_number": "815-759-2367"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACIFIC VEIN CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-26",
"last_updated": "2013-06-19",
"status": "A",
"authorized_official_last_name": "CONTI",
"authorized_official_first_name": "ERNEST",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "LEAD PHYSICIAN",
"authorized_official_telephone_number": "815-759-0800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McHenry, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.