CARDIOVASCULAR CARE ASSOCIATES S.C. NPI 1043329394

NPI Information

NPI: 1043329394
Provider Name: CARDIOVASCULAR CARE ASSOCIATES S.C.

Doing Business As: CARDIOVASCULAR CARE ASSOCIATES S.C.

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
3800 203RD ST
SUITE 209
OLYMPIA FIELDS, IL
ZIP 60461
Phone: (708) 283-1800
Get Directions

CARDIOVASCULAR CARE ASSOCIATES S.C. is a cardiovascular disease internal medicine in Olympia Fields, 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. CARDIOVASCULAR CARE ASSOCIATES S.C. NPI is 1043329394. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Cardiovascular Care Associates S.c..

The provider's business location address is:

3800 203RD ST
SUITE 209
OLYMPIA FIELDS, IL
ZIP 60461-936
Phone: (708) 283-1800
Fax: (708) 283-8607

The provider's authorized official is Narayan Mulamalla .
The authorized official title is President and has the following contact phone number (708) 283-1800.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 4/25/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	H3947	OTHER	ILLINOIS	RAILROD MEDICARE GROUP NU
2	446990	MEDICARE PIN	ILLINOIS
3	162930	MEDICARE ID-TYPE UNSPECIFIED	INDIANA	GROUP NUMBER
4	162930	MEDICARE PIN	INDIANA
5	446990	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	GROUP NUMBER
6	200194920A	MEDICAID	INDIANA

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

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