DUPAGE META-VASCULAR MEDICINE PC – NPI #1366581811
Internal Medicine

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

DUPAGE META-VASCULAR MEDICINE PC is a provider located in BLOOMINGDALE, IL. NPPES has assigned the NPI number 1366581811 to DUPAGE META-VASCULAR MEDICINE PC on February 05, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RE0101X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism

The NPI profile was previously updated about 15 years ago on Feb 04, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DUPAGE META-VASCULAR MEDICINE PC below.

NPI Profile for
DUPAGE META-VASCULAR MEDICINE PC

NPI Number
1366581811
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DUPAGE META-VASCULAR MEDICINE PC
Primary location
245 S GARY AVE
SUITE 202
BLOOMINGDALE, IL 60108-2228
Phone: (630) 893-2190 Fax: (630) 307-8716
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BARBARA KOSIEK
RN/PRACTICE MANAGER
Phone: (630) 893-2190
Updated
Identifiers

Identifiers for DUPAGE META-VASCULAR MEDICINE PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE SHIELD NUMBERIL2232209
OTHERGROUP NPIIL1366581811
OTHERRAIL ROADILP00843099
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RE0101X
- Internal Medicine / Endocrinology, Diabetes & Metabolism (Primary)
IL 036047587

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.