Organization Active NPI

Heart Specialist, LTD

  • Interventional Cardiology Physician
  • Chicago, IL
National Provider Identifier
1033304571
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
HEART SPECIALIST, LTD
Practice address
4900 S Archer Ave
Chicago, IL 60632-3663
Phone
(773) 767-8375
Fax
(773) 767-8532
NPI assigned
Sep 7, 2007
Last updated
Mar 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ashish Mukherjee, M.D.
Title
Director
Phone
(847) 657-0825

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X Primary

Addresses

Primary practice location

4900 S Archer Ave
Chicago, IL 60632-3663

Mailing address

2415 Halina Dr
Glenview, IL 60026-1196
Phone (847) 899-1701

National Provider Directory

National Provider Directory

Locations

4367 S Archer Ave
Chicago, IL 60632
Phone (773) 376-0665

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584057600000",
    "number": "1033304571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 HALINA DR",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600261196",
            "telephone_number": "847-899-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 S ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606323663",
            "telephone_number": "773-767-8375",
            "fax_number": "773-767-8532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART SPECIALIST, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A",
        "authorized_official_last_name": "MUKHERJEE",
        "authorized_official_first_name": "ASHISH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-657-0825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.