Active NPI
Vasectomy Clinics of Chicago
- Surgery Physician
- Chicago, IL
National Provider Identifier
1811035462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 036046251
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 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.
National Provider Directory
National Provider DirectoryNPI 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.