Comprehensive Cardiovascular Care, LLC
Internal Medicine, Cardiovascular Disease in Gurnee, IL. Organization (NPI-2).
Details
- NPI
- 1093074155
- Entity type
- Organization (NPI-2)
- Legal business name
- Comprehensive Cardiovascular Care, LLC
- Organization subpart
- No
- Enumeration date
- May 10, 2012
- Last updated
- Nov 9, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | 036101942 | IL | Yes |
Practice location
1790 Nations Dr Ste 111Gurnee, IL 60031-9175
Phone 224-656-5867 · Fax 219-926-3524
Mailing address
Po Box 2257Chesterton, IN 46304-0357
Phone 219-926-8320 · Fax 219-926-3524
Authorized official
Tracy Freeze
Practice Administrator
2199268320
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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