Wicker Park Heart Specialists, Llc in Chicago - Cardiovascular Disease

Wicker Park Heart Specialists, Llc - NPI 1376649319

Wicker Park Heart Specialists, Llc is a Cardiovascular Disease in Chicago, Illinois. Wicker Park Heart Specialists, Llc practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Wicker Park Heart Specialists, Llc is 1376649319. The last update date is 2012-02-07.

Wicker Park Heart Specialists, Llc's current location address is 2222 W Division St, Chicago, Illinois. You can contact this provider via phone number 7732929791 and fax number 7732929792. The mailing address for Wicker Park Heart Specialists, Llc is 2222 W Division St, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Wicker Park Heart Specialists, Llc
Address 2222 W Division St, Chicago, Illinois
Phone Number 7732929791
Fax Number 7732929792
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Deano Angeles Danilo
Credentials M.D.
Telephone Number 7732929791

NPI Number Detail

NPI Number 1376649319
Provider Enumeration Date 2006-09-16
Last Updated Date 2012-02-07

Provider Mailing Address Detail

Address 2222 W Division St
City Chicago
State Illinois (IL)
Post Code 606222717
Phone Number 7732929791
Fax Number 7732929792

Provider's Primary Taxonomy Detail

Speciality Cardiovascular Disease
Taxonomy 207Rc0000X
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
1630322 IL BCBS IL
CJ3188 RAILROAD MEDICARE

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FAQs about Wicker Park Heart Specialists, Llc

What is the unique identification code assigned to Wicker Park Heart Specialists, Llc by the Centers for Medicare & Medicaid Services?

The Wicker Park Heart Specialists, Llc has been issued the NPI (National Provider Identifier) 1376649319. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Wicker Park Heart Specialists, Llc is physically located?

The Wicker Park Heart Specialists, Llc is physically situated at the following address: 2222 W Division St, Chicago, IL, 606222717.

What is Wicker Park Heart Specialists, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Wicker Park Heart Specialists, Llc's specialized field of practice is Cardiovascular Disease, and the corresponding taxonomy code that categorizes this area of specialization is 207Rc0000X.

When did the Wicker Park Heart Specialists, Llc receive its 1376649319?

The Wicker Park Heart Specialists, Llc was issued its 1376649319 on 2006-09-16, which is the date when the organization was assigned this unique identifier.

When was the information regarding Wicker Park Heart Specialists, Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Wicker Park Heart Specialists, Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-02-07.

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