Midwest Vascular Institute of Illinois

Primary specialty

SpecialistTaxonomy code 174400000X

License

036041533 Issued in IL

Legal business name

MIDWEST VASCULAR INSTITUTE OF ILLINOIS

Practice address

3825 Highland Ave
Suite 306
Downers Grove, IL 60515-1552

Phone

(630) 963-0660

Fax

(630) 963-8348

NPI assigned

Sep 27, 2007

Last updated

Jun 27, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amir Motarjeme, M.D.NPI 1750376844

Title

Medical Director

Phone

(630) 963-0660

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amir Motarjeme, M.D.

  • Specialist
  • Downers Grove, IL
  • NPI 1750376844
  Authorized official Same address or phone

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277596800000",
    "number": "1811184435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 297",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605150297",
            "telephone_number": "630-963-0660",
            "fax_number": "630-963-8348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 HIGHLAND AVE",
            "address_2": "SUITE 306",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151552",
            "telephone_number": "630-963-0660",
            "fax_number": "630-963-8348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST VASCULAR INSTITUTE OF ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2010-06-27",
        "status": "A",
        "authorized_official_last_name": "MOTARJEME",
        "authorized_official_first_name": "AMIR",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "630-963-0660",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036041533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036041533",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Midwest Fertility Center
• Midwest Heart Specialists, LTD
• Midwest Plastic Surgery Institute, Inc.
• Midwest Professional Dental LLC
• Midwest Vascular Center, S.C.
• Midwest Women OB-Gyne LTD
• Midwestern University (Midwestern University Speech Pathology Clinic- Downers Grove)
• Midwestern University (Midwestern University Physical Therapy Institute)
• Midwestern University (MWU Wellness Center-Downers Grove)
• Midwestern University (Midwestern University Eye Institute-Downers Grove)

• Specialist in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2010; 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.