Edmund W Vizinas, MD SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

EDMUND W VIZINAS, MD SC

Practice address

6918 W Archer Ave
Suite 4
Chicago, IL 60638-2337

Phone

(773) 229-9965

Fax

(773) 229-9849

NPI assigned

Apr 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Edmund Walter Vizinas, M.D.

Title

Owner

Phone

(773) 229-9965

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1710102660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6918 W ARCHER AVE",
            "address_2": "SUITE 4",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382337",
            "telephone_number": "773-229-9965",
            "fax_number": "773-229-9849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6918 W ARCHER AVE",
            "address_2": "SUITE 4",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382337",
            "telephone_number": "773-229-9965",
            "fax_number": "773-229-9849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDMUND W VIZINAS, MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "VIZINAS",
        "authorized_official_first_name": "EDMUND",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-229-9965",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "0",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "31600576",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Millie Ninette Edmonds
• Zoe Edmonds
• Hart Logsdon Edmonson, MD
• Edmund J Lewis
• Edmund J Lewis M D & Associates
• Jane Edmunds
• Meghan Kathleen Edmundson, M.D.
• Edna Richard M D
• Charles Edoigiawerie, M.D.
• Olivia Edoigiawerie

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.