Active NPI
Premier Vein Center LLC
- Diagnostic Radiology Physician
- Arlington Heights, IL
National Provider Identifier
1912906371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- PREMIER VEIN CENTER LLC
- Practice address
- 1051 W Rand Rd
Arlington Heights, IL 60004-2315 - Phone
- (847) 618-1000
- NPI assigned
- Jul 19, 2005
- 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
- Evan S. Oblonsky, M.D.
- Title
- Chairman
- Phone
- (847) 618-1000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
1051 W Rand Rd
Arlington Heights, IL 60004-2315
Mailing address
520 E 22ND St
Lombard, IL 60148-6110
Phone (630) 874-2542
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.
-
- Diagnostic Radiology Physician
- Arlington Heights, IL
- NPI 1780686600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184544000000",
"number": "1912906371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 E 22ND ST",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601486110",
"telephone_number": "630-874-2542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1051 W RAND RD",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600042315",
"telephone_number": "847-618-1000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER VEIN CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-19",
"last_updated": "2007-07-16",
"status": "A",
"authorized_official_last_name": "OBLONSKY",
"authorized_official_first_name": "EVAN",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "CHAIRMAN",
"authorized_official_telephone_number": "847-618-1000",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.