# METROPOLITAN MEDICAL CONSULTANTS, S.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vein Care Alternatives
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396877320
- **Authorized official:** DR. JOHN PAUL FEDERBUSCH M.D. (PRESIDEN)
- **Authorized official phone:** (630) 776-4923

## Contact information

- **Practice address:** 2333 W IRVING PARK RD, CHICAGO, IL 60618
- **Practice address phone:** (773) 506-7340
- **Practice address fax:** (773) 506-7341
- **Mailing address:** 832 W OAKDALE AVE APT 3F, CHICAGO, IL 60657-5111
- **Mailing address phone:** (630) 776-4923
- **Mailing address fax:** (630) 629-3901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 202K00000X | Phlebology Physician | — | NULL | Yes |
| 202K00000X | Phlebology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/13/2007
- **Last updated:** 07/29/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 02215674 | BCBC-IL GRP PROV \# FOR GROUP NAMED: METROPOLITAN MEDICAL CONSULTANTS, S.C. | IL |
| 05 | — | 036056863 | — | IL |
| 01 | — | 787360 | MEDICARE GROUP PROV \# FOR GROUP NAMED: METROPOLITAN MEDICAL CONSULTANTS, S.C. | IL |