Healthcare Provider Details

I. General information

NPI: 1609582659
Provider Name (Legal Business Name): CHICAGO VEIN CENTERS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2023
Last Update Date: 01/24/2023
Certification Date: 01/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2088 OGDEN AVE STE 210
AURORA IL
60504-4385
US

IV. Provider business mailing address

3216 WHITE EAGLE DR
NAPERVILLE IL
60564-4651
US

V. Phone/Fax

Practice location:
  • Phone: 630-898-4515
  • Fax:
Mailing address:
  • Phone: 219-789-2751
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MOHSIN SHEIKH
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 219-789-2751