Active NPI
Il Vein Specialists, LTD.
- Medical Specialty Clinic/Center
- Lake Barrington, IL
National Provider Identifier
1821760752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- Legal business name
- IL VEIN SPECIALISTS, LTD.
- Practice address
- 22285 N Pepper Rd Ste 105
Lake Barrington, IL 60010-2539 - Phone
- (847) 277-9100
- Fax
- (847) 277-9110
- NPI assigned
- Sep 29, 2021
- 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
- Mrs. Kelly Lee Banks
- Title
- Practice Administrator
- Phone
- (847) 277-9100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | Primary |
Addresses
Primary practice location
22285 N Pepper Rd Ste 105
Lake Barrington, IL 60010-2539
Mailing address
22285 N Pepper Rd Ste 105
Lake Barrington, IL 60010-2539
Phone (847) 277-9100
Other names 1
- Jack Perlmutter, MD, S.C.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Lake Barrington, IL
- NPI 1578559019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632873600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1632873600000",
"number": "1821760752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22285 N PEPPER RD STE 105",
"city": "LAKE BARRINGTON",
"state": "IL",
"postal_code": "600102539",
"telephone_number": "847-277-9100",
"fax_number": "847-277-9110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22285 N PEPPER RD STE 105",
"city": "LAKE BARRINGTON",
"state": "IL",
"postal_code": "600102539",
"telephone_number": "847-277-9100",
"fax_number": "847-277-9110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IL VEIN SPECIALISTS, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-29",
"last_updated": "2021-09-29",
"certification_date": "2021-09-29",
"status": "A",
"authorized_official_last_name": "BANKS",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "847-277-9100",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Jack Perlmutter, MD, S.C.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Lake Barrington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.