Organization Active NPI

Immpact Cardiology SC

  • Cardiovascular Disease Physician
  • Palos Heights, IL
National Provider Identifier
1083200570
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
IMMPACT CARDIOLOGY SC
Practice address
12800 S Ridgeland Ave Ste E
Palos Heights, IL 60463-2391
Phone
(708) 429-3700
NPI assigned
Dec 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

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

Authorized official

Name
Dr. Asad Zaman, MD
Title
MD
Phone
(708) 429-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

12800 S Ridgeland Ave Ste E
Palos Heights, IL 60463-2391

Mailing address

12800 S Ridgeland Ave Ste E
Palos Heights, IL 60463-2391
Phone (708) 429-3700

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608249600000",
    "number": "1083200570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12800 S RIDGELAND AVE STE E",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604632391",
            "telephone_number": "708-429-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 S RIDGELAND AVE STE E",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604632391",
            "telephone_number": "708-429-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMPACT CARDIOLOGY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-18",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A",
        "authorized_official_last_name": "ZAMAN",
        "authorized_official_first_name": "ASAD",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "708-429-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.