Organization Active NPI

Vascular Access Centers of Illinois at North Center LLC

  • Ambulatory Surgical Clinic/Center
  • Chicago, IL
National Provider Identifier
1750870945
Registry record updated May 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
VASCULAR ACCESS CENTERS OF ILLINOIS AT NORTH CENTER LLC
Practice address
2608 W Addison St
Chicago, IL 60618-5905
Phone
(773) 756-3333
Fax
(773) 549-1717
NPI assigned
May 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2018

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

Authorized official

Name
P. Kevin Flynn
Title
Cfo/Vice Pres Finance
Phone
(312) 654-2711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

2608 W Addison St
Chicago, IL 60618-5905

Mailing address

210 S Des Plaines St
Chicago, IL 60661-5500
Phone (312) 654-2721

National Provider Directory

National Provider Directory

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": "1525305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525305600000",
    "number": "1750870945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S DES PLAINES ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606615500",
            "telephone_number": "312-654-2721",
            "fax_number": "866-954-5804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2608 W ADDISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606185905",
            "telephone_number": "773-756-3333",
            "fax_number": "773-549-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR ACCESS CENTERS OF ILLINOIS AT NORTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-03",
        "last_updated": "2018-05-03",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "P.",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "CFO/VICE PRES FINANCE",
        "authorized_official_telephone_number": "312-654-2711"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; 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.