Chicago Anti-Aging and Vein Specialists LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036.124097 Issued in IL

Legal business name

CHICAGO ANTI-AGING AND VEIN SPECIALISTS LLC

Practice address

905 Tamer LN
Glenview, IL 60025-3768

Phone

(847) 904-7500

NPI assigned

Nov 8, 2011

Last updated

Nov 8, 2011By 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

Lana Moshkovich

Title

CMM, CPC, Cemc

Phone

(847) 904-7500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1871870683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591507",
            "telephone_number": "312-729-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 TAMER LN",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600253768",
            "telephone_number": "847-904-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO ANTI-AGING AND VEIN SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-08",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "MOSHKOVICH",
        "authorized_official_first_name": "LANA",
        "authorized_official_title_or_position": "CMM, CPC, CEMC",
        "authorized_official_telephone_number": "847-904-7500"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.124097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Chen, OD
• Byung Oh Cheon, DMD
• Linsey Cherveny
• Kenneth D CHI, MD
• Magdalena Chiaramonte, DPT
• Chicago Dental Esthetics of Glenview (Chicago Dental Esthetics)
• Chicago Glaucoma Consultants LTD
• Children's & Adolescent Dentistry, LTD
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• Children's Physician Group

• Family Medicine Physician in Glenview, IL
• Providers in Glenview, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.