Organization Active NPI

Vasectomy Clinics of Chicago

  • Surgery Physician
  • Chicago, IL
National Provider Identifier
1811035462
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036046251 Issued in IL
Legal business name
VASECTOMY CLINICS OF CHICAGO
Practice address
505 N Lake Shore Dr
Suite 203
Chicago, IL 60611-3427
Phone
(312) 528-9068
Fax
(312) 278-4492
NPI assigned
Feb 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

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

Authorized official

Name
Dr. Kiumars Mostowfi, M.D.
Title
President
Phone
(312) 528-9068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 036046251 IL Primary

Addresses

Primary practice location

505 N Lake Shore Dr
Suite 203
Chicago, IL 60611-3427

Mailing address

PO Box 669
Libertyville, IL 60048-0669
Phone (312) 528-9068

Other names 1

  • Kiumars Mostowfi, M.D., S.C. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324944000000",
    "number": "1811035462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 669",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600480669",
            "telephone_number": "312-528-9068",
            "fax_number": "312-278-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N LAKE SHORE DR",
            "address_2": "SUITE 203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113427",
            "telephone_number": "312-528-9068",
            "fax_number": "312-278-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASECTOMY CLINICS OF CHICAGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2011-12-27",
        "status": "A",
        "authorized_official_last_name": "MOSTOWFI",
        "authorized_official_first_name": "KIUMARS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-528-9068",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": "036046251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kiumars Mostowfi, M.D., S.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 27, 2011; 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.