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NORTH LAKE CARDIOVASCULAR CENTER PC NPI 1457584450


NPI Information

NPI: 1457584450
Provider Name: NORTH LAKE CARDIOVASCULAR CENTER PC

Other Name: NORTHLAKE CARDIOVASCULAR CENTER P.C.

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
310 S GREENLEAF ST
SUITE 212
GURNEE, IL
ZIP 60031
Phone: (847) 360-1000
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NORTH LAKE CARDIOVASCULAR CENTER PC is a cardiovascular disease internal medicine in Gurnee, 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. NORTH LAKE CARDIOVASCULAR CENTER PC NPI is 1457584450. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Northlake Cardiovascular Center P.c..

The provider's business location address is:

310 S GREENLEAF ST
SUITE 212
GURNEE, IL
ZIP 60031-708
Phone: (847) 360-1000
Fax: (847) 360-1001

The provider's authorized official is Ahmed S Hashim .
The authorized official title is Ceo and has the following contact phone number (847) 360-1000.

The enumeration date for this NPI number is 8/25/2009 and was last updated on 11/12/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular Disease036101448ILLINOISYes

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
1IL2600MEDICARE PINILLINOIS
20004933281OTHERILLINOISBCBS
3036101448MEDICAIDILLINOIS

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

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