Provider Demographics
NPI:1457788424
Name:CHICAGO VASCULAR CLINIC LTD
Entity Type:Organization
Organization Name:CHICAGO VASCULAR CLINIC LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PARAG
Authorized Official - Middle Name:M
Authorized Official - Last Name:DOSHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-605-9500
Mailing Address - Street 1:812 E WOODFIELD RD
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-4714
Mailing Address - Country:US
Mailing Address - Phone:847-605-9500
Mailing Address - Fax:847-637-0737
Practice Address - Street 1:812 E WOODFIELD RD
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-4714
Practice Address - Country:US
Practice Address - Phone:847-605-9500
Practice Address - Fax:847-637-0737
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHICAGO CARDIOLOGY INSTITUTE, S.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-10-04
Last Update Date:2015-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036086709207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Multi-Specialty
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty