LASER VEIN INSTITUTE SC NPI 1902995210

NPI Information

  • NPI: 1902995210
  • Provider Name: LASER VEIN INSTITUTE SC
  • Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
  • Entity Type: Organization
  • Address: 311 N WALNUT AVE
    SUITE 100
    WOOD DALE, IL
    ZIP 60191
  • Phone: (630) 860-0035

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NPI Details

LASER VEIN INSTITUTE SC is a thoracic surgery cardiothoracic vascular surgery in Wood Dale, IL. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. LASER VEIN INSTITUTE SC NPI is 1902995210. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

311 N WALNUT AVE
SUITE 100
WOOD DALE, IL
ZIP 60191-566
Phone: (630) 860-0035
Fax: (630) 860-5262

The provider's authorized official is Dominic J Tolitano .
The authorized official title is President / Owner and has the following contact phone number (630) 860-0035.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 2/14/2008.

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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1DG2072MEDICARE PINILLINOIS
2DG2072OTHERILLINOISRAILROAD MEDICARE
32232802OTHERILLINOISBCBS PROVIDER ID
4209848MEDICARE PINILLINOIS
5214612MEDICARE PINILLINOIS

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: 11/21/2025

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