OrganizationActive
Illinois Laser & Vein Center, LLC
NPI 1699847848 · Medical Specialty Clinic/Center · Bourbonnais, IL
Provider details
- NPI number
- 1699847848
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sarat Yalamanchili, President(815) 937-4500
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
1521 N Convent St
Bourbonnais, IL 60914-1468
Phone: (815) 937-4500
Fax: (815) 937-4777
Street-level locationGet directions
Mailing address
1521 N Convent St
Bourbonnais, IL 60914-1468
Registry dates
- Enumerated
- 2006-11-14
- Last updated
- 2007-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.