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NORTHWESTERN CARDIOLOGY & INTERNAL MEDICINE SC NPI 1275749582


NPI Information

NPI: 1275749582
Provider Name: NORTHWESTERN CARDIOLOGY & INTERNAL MEDICINE SC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 14D0878952

Address:
150 E HURON ST
SUITE 800
CHICAGO, IL
ZIP 60611
Phone: (312) 642-9858
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NORTHWESTERN CARDIOLOGY & INTERNAL MEDICINE SC 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. NORTHWESTERN CARDIOLOGY & INTERNAL MEDICINE SC NPI is 1275749582. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

150 E HURON ST
SUITE 800
CHICAGO, IL
ZIP 60611-999
Phone: (312) 642-9858
Fax: (312) 642-9818

The provider's authorized official is Stuart Greenfield .
The authorized official title is President and has the following contact phone number (312) 642-9858.

The CLIA number assigned to this NPI record is 14D0878952 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/15/2007 and was last updated on 3/10/2016.


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
1207RC0000XInternal MedicineCardiovascular DiseaseYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G02413MEDICARE UPINILLINOIS
2K18365MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
3036086081MEDICAIDILLINOIS

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.