CHANDRA DIAGNOSTIC CARDIOLOGY LTD NPI 1336162783

NPI Information

NPI: 1336162783
Provider Name: CHANDRA DIAGNOSTIC CARDIOLOGY LTD
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 14D1019578

Address:
3330 W 177TH ST STE 3E
HAZEL CREST, IL
ZIP 60429
Phone: (708) 798-4500
Get Directions

CHANDRA DIAGNOSTIC CARDIOLOGY LTD is a cardiovascular disease internal medicine in Hazel Crest, 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. CHANDRA DIAGNOSTIC CARDIOLOGY LTD NPI is 1336162783. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3330 W 177TH ST STE 3E
HAZEL CREST, IL
ZIP 60429-196
Phone: (708) 798-4500
Fax: (708) 798-4586

The provider's authorized official is Azazuddin Ahmed .
The authorized official title is Owner and has the following contact phone number (630) 915-9231.

The CLIA number assigned to this NPI record is 14D1019578 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 5/1/2023.

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	036092076	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	036092076	MEDICAID	ILLINOIS
2	CJ8102	OTHER	ILLINOIS	MEDICARE RAILROAD

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

NPI Synchronization or Removal

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