Midwest Vascular Institute Of Illinois

LBN: Midwest Vascular Institute Of Illinois
Midwest Vascular Institute Of Illinois is an health care organization with primary practice located at 3825 Highland Ave Suite 306, Downers Grove IL 60515-1552. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Midwest Vascular Institute Of Illinois can be contacted via phone (630) 963-0660, or through Motarjeme, Amir via phone (630) 963-0660.

Contact Information

Primary practice address
3825 Highland Ave Suite 306 Downers Grove IL 60515-1552
Phone: (630) 963-0660
Fax: (630) 963-8348
Website:
Map and Directions
Authorized official contact:
Name: Motarjeme, Amir Doctor of Medicine (MD)
Phone: (630) 963-0660

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036041533 Illinois

Profile Details

NPI number 1811184435
LBN Legal business name Midwest Vascular Institute Of Illinois
DBA Doing business as
Authorized official Motarjeme, Amir Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2007
Last updated Jun 27th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811184435 NPPES
Illinois MEDICAID 036041533

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