VASCULAR ACCESS CENTERS OF ILLINOIS AT MORGAN PARK LLC NPI 1689163875

NPI Information

  • NPI: 1689163875
  • Provider Name: VASCULAR ACCESS CENTERS OF ILLINOIS AT MORGAN PARK, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 14D2152554
  • Address: 1701 W MONTEREY AVE
    CHICAGO, IL
    ZIP 60643
  • Phone: (773) 366-8035

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NPI Details

VASCULAR ACCESS CENTERS OF ILLINOIS AT MORGAN PARK, LLC is an ambulatory surgical clinic center in Chicago, IL. VASCULAR ACCESS CENTERS OF ILLINOIS AT MORGAN PARK, LLC NPI is 1689163875. The provider is registered as an organization entity type.

The provider's business location address is:

1701 W MONTEREY AVE
CHICAGO, IL
ZIP 60643-257
Phone: (773) 366-8035
Fax: (773) 881-1214

The provider's authorized official is Amitabha Mitra .
The authorized official title is President and has the following contact phone number (312) 654-2720.

The CLIA number assigned to this NPI record is 14D2152554 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist (HCPCS:36902)
  • Insertion of needle and/or tube into hemodialysis circuit with review by radiologist (HCPCS:36901)
  • Replacement of tunneled central venous tube (HCPCS:36581)
  • Mechanical removal of obstructive material from central venous tube (HCPCS:36595)
  • Removal of tunneled central venous tube (HCPCS:36589)

The enumeration date for this NPI number is 5/3/2018 and was last updated on 11/22/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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