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CARDIOVASCULAR SERVICE ASSOCIATES NPI 1396799862


NPI Information

NPI: 1396799862
Provider Name: CARDIOVASCULAR SERVICE ASSOCIATES
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 14D2260155

Address:
7425 W IRVING PARK RD
CHICAGO, IL
ZIP 60634
Phone: (773) 585-7505
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CARDIOVASCULAR SERVICE ASSOCIATES is a cardiovascular disease internal medicine in Chicago, IL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. CARDIOVASCULAR SERVICE ASSOCIATES NPI is 1396799862. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7425 W IRVING PARK RD
CHICAGO, IL
ZIP 60634-139
Phone: (773) 585-7505
Fax: (773) 585-7507

The provider's authorized official is Bohdan Fedirko .
The authorized official title is Owner and has the following contact phone number (773) 585-7505.

The CLIA number assigned to this NPI record is 14D2260155 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 1/28/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineILLINOISNo
2207RC0000XInternal MedicineCardiovascular DiseaseILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.