NPI | 1316998578 |
---|---|
Doing Business As | HEART AND VASCULAR OF ILLINOIS |
Entity Type | Organization |
Authorized Contact | AJAY BADDI Physician 773-880-9722 |
Organization Subpart ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 060000983) |
Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: IL 060000983) |
363L00000X Nurse Practitioner (Licence: IL 06000983) | |
Enumeration Date | 2006-05-13 |
Last Update Date | 2010-12-21 |