Cardio Medical Center SC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CARDIO MEDICAL CENTER SC

Practice address

7746 West Madison Ave
Forrest Park, IL 60131

Phone

(708) 488-0392

Fax

(708) 488-0393

NPI assigned

Feb 24, 2015

Last updated

Oct 15, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Riaz Akhtar, M.D.

Title

Director

Phone

(630) 710-6020

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1424736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444867200000",
    "number": "1073905311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7746 WEST MADISON AVE",
            "city": "FORREST PARK",
            "state": "IL",
            "postal_code": "60131",
            "telephone_number": "708-488-0392",
            "fax_number": "708-488-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7746 WEST MADISON AVE",
            "city": "FORREST PARK",
            "state": "IL",
            "postal_code": "60131",
            "telephone_number": "708-488-0392",
            "fax_number": "708-488-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIO MEDICAL CENTER SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-24",
        "last_updated": "2015-10-15",
        "status": "A",
        "authorized_official_last_name": "AKHTAR",
        "authorized_official_first_name": "RIAZ",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "630-710-6020",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036047761",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; 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.