is a Cardiovascular Disease in Chicago, Illinois. practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for is 1972760718. The last update date is .
's current location address is 1725 W Harrison St Ste 1159, Chicago, Illinois. You can contact this provider via phone number 3129425020. The mailing address for is 1725 W Harrison St Ste 1159, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 1725 W Harrison St Ste 1159, Chicago, Illinois |
Phone Number | 3129425020 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1972760718 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 1725 W Harrison St Ste 1159 |
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City | Chicago |
State | Illinois (IL) |
Post Code | 606123883 |
Phone Number | 3129425020 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Cardiovascular Disease |
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Taxonomy | 207Rc0000X |
Licence No | 36117185 |
Definition: 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. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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36117185 | IL | -- | |
406120062 | PTAN |
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