Active NPI
Consultant in Cardiovascular Imaging,S.C.
- Specialist
- Melrose Park, IL
National Provider Identifier
1083809776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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.
National Provider Directory
National Provider DirectoryLocations
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.