CARDIO-MEDICINE SC NPI 1225146483

NPI Information

NPI: 1225146483
Provider Name: CARDIO-MEDICINE SC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
9830 RIDGELAND AVE
STE 5
CHICAGO RIDGE, IL
ZIP 60415
Phone: (708) 422-8282
Get Directions

CARDIO-MEDICINE SC is a cardiovascular disease internal medicine in Chicago Ridge, 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. CARDIO-MEDICINE SC NPI is 1225146483. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9830 RIDGELAND AVE
STE 5
CHICAGO RIDGE, IL
ZIP 60415-667
Phone: (708) 422-8282
Fax: (708) 422-9111

The provider's authorized official is Randi S Janicek .
The authorized official title is Practice Manager and has the following contact phone number (708) 422-8282.

The enumeration date for this NPI number is 8/28/2006 and was last updated on 8/26/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	036044355	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	210651	MEDICARE PIN	ILLINOIS
2	E14048	MEDICARE UPIN	ILLINOIS

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: 5/5/2024

NPI Synchronization or Removal

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