CLINICAL CARDIOLOGY GROUP LTD. NPI 1700802956

NPI Information

CLINICAL CARDIOLOGY GROUP, LTD. is a specialist in Chicago, IL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CLINICAL CARDIOLOGY GROUP, LTD. NPI is 1700802956. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

676 N SAINT CLAIR ST
SUITE 1930
CHICAGO, IL
ZIP 60611-927
Phone: (312) 642-2505

The provider's authorized official is Albert J. Miller .
The authorized official title is Officer Of Corporation and has the following contact phone number (847) 432-7199.

The CLIA number assigned to this NPI record is 14D0895392 - other - nih funded clinical resea with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/14/2006 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:

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