Organization Active NPI

Bariatric Institute of Greater Chicago, LTD

  • Surgery Physician
  • Hinsdale, IL
National Provider Identifier
1821254855
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
BARIATRIC INSTITUTE OF GREATER CHICAGO, LTD
Practice address
110 N Quincy St
Hinsdale, IL 60521-3050
Phone
(630) 468-2545
Fax
(630) 986-5591
NPI assigned
Jul 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Authorized official

Name
Dr. Vafa ShayaniNPI 1134193220
Title
President
Phone
(630) 468-2545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

110 N Quincy St
Hinsdale, IL 60521-3050

Mailing address

PO Box 84
Hinsdale, IL 60522-0084
Phone (630) 468-2545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081008000499 IL Part B Supplier - Clinic/Group Practice 0042388761 Receives reassigned benefits from 1 practitioner
Practice locations: Bolingbrook, IL; Hinsdale, IL; La Grange, IL; Rockford, IL

National Provider Directory

National Provider Directory

Locations

109 Symonds Dr
Unit 84
Hinsdale, IL 60522

Practitioners & affiliated clinicians

Practitioners 2

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": "1217376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1821254855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605220084",
            "telephone_number": "630-468-2545",
            "fax_number": "630-986-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N QUINCY ST",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213050",
            "telephone_number": "630-468-2545",
            "fax_number": "630-986-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARIATRIC INSTITUTE OF GREATER CHICAGO, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-30",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "SHAYANI",
        "authorized_official_first_name": "VAFA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-468-2545",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.