Consultants In Cardiovascular Medicine, S. C.
Specialist in Melrose Park, IL. Organization (NPI-2).
NPI number1164530713
StatusActive
Last updated in NPPESJul 9, 2014
Details
- NPI
- 1164530713
- Entity type
- Organization (NPI-2)
- Legal business name
- Consultants In Cardiovascular Medicine, S. C.
- Organization subpart
- No
- Enumeration date
- Aug 25, 2006
- Last updated
- Jul 9, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 36-064782 | IL | Yes |
Practice location
675 W North AvenueSuite-210
Melrose Park, IL 60160-1634
Phone 708-838-1448 · Fax 708-344-0508
Mailing address
675 W North AvenueSuite-210
Melrose Park, IL 60160-1634
Phone 708-838-1448 · Fax 708-344-0508
Authorized official
Jeffrey G. Shanes
President
7088381448
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