Illinois Laser & Vein Center, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

ILLINOIS LASER & VEIN CENTER, LLC

Practice address

1521 N Convent St
Bourbonnais, IL 60914-1468

Phone

(815) 937-4500

Fax

(815) 937-4777

NPI assigned

Nov 14, 2006

Last updated

Sep 25, 2007By 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. Sarat Yalamanchili, MDNPI 1194722942

Title

President

Phone

(815) 937-4500

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Sarat Yalamanchili, M.D.

  • Internal Medicine Physician
  • Bourbonnais, IL
  • NPI 1194722942
  Authorized official Same address or phone

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1699847848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 N CONVENT ST",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141468",
            "telephone_number": "815-937-4500",
            "fax_number": "815-937-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 N CONVENT ST",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141468",
            "telephone_number": "815-937-4500",
            "fax_number": "815-937-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS LASER & VEIN CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "YALAMANCHILI",
        "authorized_official_first_name": "SARAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-937-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John P Hung, MD
• Jessica Husarik
• Asima K Hussaini, MD
• Illinois Bone and Joint Institute LLC
• Illinois Bone and Joint Institute, LLC
• Insight Eyecare, P.C.
• Institute for Social and Emotional Learning
• Integrated Homecare Services Chicago Corporation (Integrated Respiratory Solutions)
• Iroqouois Mental Health Center
• Iroquois Mental Health Center

• Medical Specialty Clinic/Center in Bourbonnais, IL
• Providers in Bourbonnais, IL by specialty
• Medical Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.