MACUMBER MEDICAL LTD (NPI# 1407484645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407484645 |
| Entity Type | Organization |
| Organization Name | MACUMBER MEDICAL LTD |
| Practice Address |
3114 W Irving Park Rd Ste 1w Chicago IL 60618-3435 |
| Practice Telephone | 8333887669 |
| Practice Fax Number | 8333887669 |
| Mailing Telephone | 8333887669 |
| Mailing Fax Number | 8333887669 |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2020-04-01 |
| Authorized Official Name | DR. MARK MACUMBER (OWNER) |
| Authorized Official Telephone | 8333887669 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities | ||
| Y | 202K00000X | Phlebology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Chicago DVT | Doing Business As Name - Organization |
| Street Address |
3114 W IRVING PARK RD STE 1W |
| City | CHICAGO |
| State | IL |
| Zip Code | 60618-3435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134741622 | Cvs Aoc Services, L.L.C. | Optometrist | 4051 North Lincoln, Store 8751, Chicago, IL 60618 | 2020-05-07 |
| 1699317404 | Joseph Thank Harmon | Registered Nurse | 5645 W Addison, Chicago, IL 60618 | 2019-10-14 |
| 1760952626 | Prep Performance Center, LLC | Clinic/Center | 4022 N Rockwell Street, Chicago, IL 60618 | 2018-12-04 |
| 1528540986 | Ruby Erdmann | Dietitian, Registered | 3126 N Kimball Ave. #3w, Chicago, IL 60618 | 2018-09-02 |
| 1962997064 | Living Roots Psychotherapy, LLC | Clinic/Center | 4310 N Spaulding Ave, Chicago, IL 60618 | 2018-06-30 |
| 1962920116 | Alif Muhammad | Counselor | 3819 W Cornelia Ave #2, Chicago, IL 60618 | 2017-09-07 |
| 1417471178 | Daniel Lee Mcmillan | Counselor | 3433 N. Ridgeway Ave, Apt G, Chicago, IL 60618 | 2017-08-03 |
| 1508380486 | Callie Weinberg | Social Worker | 2945 N Damen Ave, 1s, Chicago, IL 60618 | 2017-08-01 |
| 1275062697 | Melissa Ann Prest | Dietitian, Registered | 3258 W Warner Ave, Apt 2, Chicago, IL 60618 | 2017-06-08 |
| 1871951038 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 4315 N. Lincoln Avenue, Chicago, IL 60618 | 2016-02-03 |
| Find all providers in zip 60618 | ||||
| Taxonomy Code | 202K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Phlebology |
| Phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and other disorders of venous origin. A phlebologist has attained a minimum of 50 hours of CME units in phlebology-related courses, and is knowledgeable of and trained in a variety of diagnostic techniques including physical examination, venous imaging techniques such as duplex ultrasound, CT and MR, plethysmographic techniques and laboratory evaluation related to venous thromboembolism. The phlebologist is also trained in a variety of therapeutic interventions, which may include compression, sclerotherapy, cutaneous vascular laser, endovenous thermoablation procedures (laser and radiofrequency) endovenous chemical ablation, surgical procedures (e.g., ambulatory phlebectomy, venous ligation), vasoactive medications and the management of venous thromboembolism. |
| Notes: Source: American College of Phlebology 12/2006. www.phelbology.org [1/1/2007: new, 7/1/2009: definition reformatted] Additional Resources: Training Programs, Fellowships, and/or Preceptorships: Certification exam is being established by the American Board of Phlebology. ACGME Accredited Residency Program Requirements: None |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154602043 | Mvc-chicago, S.c. | Phlebology | 680 N Lake Shore Dr Suite 104, Chicago, IL 60673-1050 | 2011-09-06 |
| 1447343090 | Chicago Vein Institute S.c. | Phlebology | 4906 N. Western Ave., Suite 2, Chicago, IL 60625 | 2006-10-02 |
| 1235261264 | John Paul Federbusch | Phlebology | 2333 W Irving Park Rd, Chicago, IL 60618 | 2007-03-13 |
| 1396877320 | Metropolitan Medical Consultants, S.c. | Phlebology | 2333 W Irving Park Rd, Chicago, IL 60618 | 2007-03-13 |
| 1255427704 | Chicago Uptown Medical Center Corp. | Phlebology | 4906 N Western Ave, Suite 1, Chicago, IL 60625 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053511840 | Sw Suburban - Midwest Vascular Center, S. C. | Phlebology | 10755 W 143rd St, Orland Park, IL 60462-1900 | 2007-07-20 |
| 1194751156 | Kathryn Sue Bohn | Phlebology | 3302 Gerig Dr, Suite 100, Bloomington, IL 61704-6365 | 2006-06-23 |
| 1154378040 | Illinois Phlebology Associates Sc | Phlebology | 14225 S 95th Ave Ste 455, Orland Park, IL 60462-2266 | 2006-05-27 |
| 1457311524 | Stephen Carl Sorenson | Phlebology | 795 Ela Rd Ste 115, Lake Zurich, IL 60047 | 2006-03-24 |
| 1396728978 | Peter Brukasz | Phlebology | 10510 S Roberts Rd, Palos Hills, IL 60465-1934 | 2005-11-28 |
| 1619412574 | The Institute for Vein Health LLC | Phlebology | 10510 S Roberts Rd, Palos Hills, IL 60465-1934 | 2017-01-03 |
| 1457711269 | Lake County Vein Specialists, Sc | Phlebology | 1425 N Hunt Club Rd, Suite 202, Gurnee, IL 60031-2632 | 2016-03-07 |
| 1255603247 | Grand Vein Specialists LLC | Phlebology | 1508 Grand Ave, Waukegan, IL 60085-3653 | 2012-02-06 |
| 1083916845 | Mir Joffrey Md, LLC | Phlebology | 1100 E Woodfield Rd, Suite 140, Schaumburg, IL 60173-5116 | 2010-11-30 |
| 1063652873 | Innovamed Veins Sc | Phlebology | 2601 N Main St, Rockford, IL 61103-3110 | 2009-03-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.