Organization Active NPI

Consultant in Cardiovascular Imaging,S.C.

  • Specialist
  • Melrose Park, IL
National Provider Identifier
1083809776
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CONSULTANT IN CARDIOVASCULAR IMAGING,S.C.
Practice address
675 W North Ave
Ste-208
Melrose Park, IL 60160-1634
Phone
(708) 343-4302
Fax
(708) 343-4341
NPI assigned
Sep 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2012

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

Authorized official

Name
Ms. Jen Grimes
Title
Administrative Manager
Phone
(708) 343-4302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

675 W North Ave
Ste-208
Melrose Park, IL 60160-1634

Mailing address

675 W North Ave
Ste-208
Melrose Park, IL 60160-1634
Phone (708) 343-4302

Other names 1

  • Consultant in Cardiovascular Imaging,S.C. Other name

National Provider Directory

National Provider Directory

Locations

2333 N Seeley Ave
#1S
Chicago, IL 60647
Phone (773) 278-8820

2254 Landmeier Rd
Ste A
Elk Grove Vlg, IL 60007
Phone (847) 718-0511

675 W North Ave
Ste 210
Melrose Park, IL 60160
Phone (708) 450-5094

321 W Stone Rd
Villa Park, IL 60181
Phone (773) 278-8820

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1083809776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 W NORTH AVE",
            "address_2": "STE-208",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601634",
            "telephone_number": "708-343-4302",
            "fax_number": "708-343-4341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 W NORTH AVE",
            "address_2": "STE-208",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601634",
            "telephone_number": "708-343-4302",
            "fax_number": "708-343-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSULTANT IN CARDIOVASCULAR IMAGING,S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "GRIMES",
        "authorized_official_first_name": "JEN",
        "authorized_official_title_or_position": "ADMINISTRATIVE  MANAGER",
        "authorized_official_telephone_number": "708-343-4302",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Consultant in Cardiovascular Imaging,S.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Melrose Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; 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.