Provider Type Icon

ADVANCED HEART GROUP SC NPI 1518945989


NPI Information

NPI: 1518945989
Provider Name: ADVANCED HEART GROUP SC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 14D2067991

Address:
71 W 156TH ST
SUITE 305
HARVEY, IL
ZIP 60426
Phone: (708) 331-2200
Get Directions

ADVANCED HEART GROUP SC is a cardiovascular disease internal medicine in Harvey, 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. ADVANCED HEART GROUP SC NPI is 1518945989. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

71 W 156TH ST
SUITE 305
HARVEY, IL
ZIP 60426
Phone: (708) 331-2200
Fax: (708) 331-8015

The provider's authorized official is Ponnambalam S Sundram .
The authorized official title is President Adanced Heart Group Sc and has the following contact phone number (708) 331-2200.

The CLIA number assigned to this NPI record is 14D2067991 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/5/2006 and was last updated on 8/22/2020.


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
1207RC0000XInternal MedicineCardiovascular DiseaseYes

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

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.