# MVC-CHICAGO, S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154602043
- **Authorized official:** DR. JAMES WRIGHT MD (PRESIDENT)
- **Authorized official phone:** (630) 322-9126

## Contact information

- **Practice address:** 680 N LAKE SHORE DR SUITE 104, CHICAGO, IL 60673-1050
- **Practice address phone:** (312) 819-5901
- **Mailing address:** 2001 BUTTERFIELD RD, SUITE 100, DOWNERS GROVE, IL 60515-1050
- **Mailing address phone:** (630) 322-9126
- **Mailing address fax:** (630) 322-9128

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 202K00000X | Phlebology Physician | — | NULL | — |
| 202K00000X | Phlebology Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/06/2011
- **Last updated:** 10/25/2019