# CHICAGO LASER VEIN INSTITUTE LLC

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

## Provider details

- **NPI number:** 1174701759
- **Authorized official:** ALVARO MONTOYA MD (OWNER)
- **Authorized official phone:** (312) 560-1150

## Contact information

- **Practice address:** 2222 W DIVISION ST, SUITE 110, CHICAGO, IL 60622-2717
- **Practice address phone:** (773) 489-3795
- **Practice address fax:** (773) 489-3947
- **Mailing address:** 777 OAKMONT LN, SUITE 1600, WESTMONT, IL 60559-5511
- **Mailing address phone:** (630) 789-2550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | IL | Yes |

## Other

- **Enumeration date:** 02/05/2008
- **Last updated:** 02/05/2008