Organization Active NPI

Indu M. Vence, M.D., S.C.

  • Primary Care Clinic/Center
  • Schaumburg, IL
National Provider Identifier
1700199841
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
036096196 Issued in IL
Legal business name
INDU M. VENCE, M.D., S.C.
Practice address
800 E Woodfield Rd
Suite 101
Schaumburg, IL 60173-4718
Phone
(847) 466-5091
Fax
(847) 517-1222
NPI assigned
Jul 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Authorized official

Name
Dr. Indu M Vence, M.D.NPI 1992805808
Title
President
Phone
(847) 466-5091

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)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 036096196 IL Primary

Addresses

Primary practice location

800 E Woodfield Rd
Suite 101
Schaumburg, IL 60173-4718

Mailing address

800 E Woodfield Rd
Suite 101
Schaumburg, IL 60173-4718
Phone (847) 466-5091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101102001201 IL Part B Supplier - Clinic/Group Practice 5799979852 Receives reassigned benefits from 1 practitioner
Practice locations: Schaumburg, IL

National Provider Directory

National Provider Directory

Locations

800 E Woodfield Rd
Ste 101
Schaumburg, IL 60173
Phone (847) 466-5091

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1700199841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E WOODFIELD RD",
            "address_2": "SUITE 101",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734718",
            "telephone_number": "847-466-5091",
            "fax_number": "847-517-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E WOODFIELD RD",
            "address_2": "SUITE 101",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734718",
            "telephone_number": "847-466-5091",
            "fax_number": "847-517-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDU M. VENCE, M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-19",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "VENCE",
        "authorized_official_first_name": "INDU",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-466-5091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "036096196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.