Organization Active NPI

Vein Care Specialists, LTD

  • Phlebology Physician
  • Chicago, IL
National Provider Identifier
1902981491
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
Legal business name
VEIN CARE SPECIALISTS, LTD
Practice address
712 N Dearborn St Ste 101
Chicago, IL 60654-3846
Phone
(312) 867-0020
Fax
(312) 448-6117
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Authorized official

Name
Salvador Yunez, MDNPI 1467667758
Title
President
Phone
(312) 867-0020

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
Phlebology Physician 202K00000X Primary

Addresses

Primary practice location

712 N Dearborn St Ste 101
Chicago, IL 60654-3846

Mailing address

712 N Dearborn St Ste 101
Chicago, IL 60654-3846
Phone (312) 867-0020

Other practice location 1

150 Ave De Diego Ste 608
San Juan, PR 00907-2318
Phone (787) 723-7398

Other identifiers 1

IdentifierTypeStateIssuer
4932251OtherILBLUE CROSS & BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051114000589 IL Part B Supplier - Clinic/Group Practice 0446279095 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Chicago, IL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Vein Care Specialists LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

150 Ave de Diego
Ste 608
Santurce, PR 00907
Phone (787) 723-7323

Practitioners & affiliated clinicians

Practitioners 1

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": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1902981491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 N DEARBORN ST STE 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606543846",
            "telephone_number": "312-867-0020",
            "fax_number": "312-448-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 N DEARBORN ST STE 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606543846",
            "telephone_number": "312-867-0020",
            "fax_number": "312-448-6117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Ave De Diego Ste 608",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009072318",
            "country_code": "US",
            "telephone_number": "787-723-7398",
            "fax_number": "312-448-6117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VEIN CARE SPECIALISTS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "YUNEZ",
        "authorized_official_first_name": "SALVADOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-867-0020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "4932251",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 15, 2024; 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.