MEDICARE: VIVEK CHERIAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	D0086702	MD
2	207R00000X	Internal Medicine Physician	036153124	IL

General Provider Information

NPI Number	:	1811333735
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIVEK CHERIAN MD

Provider Business Mailing Address
First Line	:	2650 RIDGE AVE STE 1223
Second Line	:
City	:	EVANSTON
State	:	IL
Zip	:	60201-1700
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	303 W LAKE ST STE 200
Second Line	:
City	:	ADDISON
State	:	IL
Zip	:	60101-2500
Country	:	US
Telephone Number	:	331-221-9001
Fax Number	:	331-221-3874

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2013
Last Update Date	:	12/01/2025

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Directions to “ VIVEK CHERIAN MD” Practice Location

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