| NPI | 1487678165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN THOMAS Director Of Payer Contracting 224-285-6266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 261QR0200X Clinic/Center, Radiology | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2025-08-08 |