OrganizationActive
Grand Vein Specialists LLC
NPI 1255603247 · Family Medicine Physician · Chicago, IL
Provider details
- NPI number
- 1255603247
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Javier Flores, Owner(773) 942-6141
- License
- 036-116087 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4952 W Irving Park Rd Ste 300
Chicago, IL 60641-2693
Phone: (773) 942-6141
Fax: (866) 707-2267
Street-level locationGet directions
Mailing address
4952 W Irving Park Rd Ste 300
Chicago, IL 60641-2693
Additional practice locations (2)
- 6227 Cermak RdBerwyn, IL 60402-2317Phone: (773) 942-6141Fax: (866) 707-2267
- 1508 Grand AveWaukegan, IL 60085-3653Phone: (773) 942-6141Fax: (866) 707-2267
Registry dates
- Enumerated
- 2012-02-06
- Last updated
- 2021-02-09
- Certified
- 2021-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.