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DUPAGE CARDIOLOGY SC NPI 1417046731


NPI Information

NPI: 1417046731
Provider Name: DUPAGE CARDIOLOGY SC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
303 E ARMY TRAIL RD
SUITE 405
BLOOMINGDALE, IL
ZIP 60108
Phone: (630) 307-0100
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DUPAGE CARDIOLOGY SC is a cardiovascular disease internal medicine in Bloomingdale, 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. DUPAGE CARDIOLOGY SC NPI is 1417046731. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

303 E ARMY TRAIL RD
SUITE 405
BLOOMINGDALE, IL
ZIP 60108-169
Phone: (630) 307-0100
Fax: (630) 307-0111

The provider's authorized official is Vijay Kumar .
The authorized official title is President and has the following contact phone number (630) 307-0100.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 9/29/2011.


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

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
1214352MEDICARE PINILLINOIS
2214353MEDICARE PINILLINOIS
3DF8341MEDICARE PINILLINOIS
4=========OTHERILLINOISTIN
52233084OTHERILLINOISBCBS PROVIDER ID
6DF8341OTHERILLINOISRAILROAD MEDICARE

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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