Active NPI
Chicago Cardio Diagnostics, L.L.C.
- Mobile Radiology Clinic/Center
- Schaumburg, IL
National Provider Identifier
1215984745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mobile Radiology Clinic/Center
- License
- 5532-4134
- Legal business name
- CHICAGO CARDIO DIAGNOSTICS, L.L.C.
- Practice address
- 270 Willoby CT
Schaumburg, IL 60173-2161 - Phone
- (847) 995-8001
- Fax
- (847) 413-0922
- NPI assigned
- May 29, 2006
- 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
- Mr. Matthew L Desrosiers
- Title
- Member
- Phone
- (847) 995-8001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mobile Radiology Clinic/Center | 261QR0208X | 5532-4134 | IL | Primary |
Addresses
Primary practice location
270 Willoby CT
Schaumburg, IL 60173-2161
Mailing address
PO Box 59111
Schaumburg, IL 60159-0111
Phone (847) 995-8001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001635632 | Other | IL | BC/BS OF IL PROVIDER # |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Cardiology Physician
- Chicago, IL
- NPI 1104147628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148860800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328054400000",
"number": "1215984745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 59111",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601590111",
"telephone_number": "847-995-8001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 WILLOBY CT",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601732161",
"telephone_number": "847-995-8001",
"fax_number": "847-413-0922"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHICAGO CARDIO DIAGNOSTICS, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-29",
"last_updated": "2012-02-01",
"status": "A",
"authorized_official_last_name": "DESROSIERS",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "847-995-8001",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR0208X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mobile",
"state": "IL",
"license": "5532-4134",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF IL PROVIDER #",
"identifier": "0001635632",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Schaumburg, IL
- Helen Chen, O.D.
- Molly Chesney, MS CCC-SLP/L
- Kenneth Craig Chessick, M.D.
- Julia Chevron, NP
- Monica CHI, MD
- Chicago Cardiology Institute S.C.
- Chicago Gynecologic Oncology, S.C.
- Chicago Hand and Orthopedic Surgery Centers SC
- Chicago Hand and Orthopedic Surgery Centers SC
- Chicago Hearing LLC (Miracle Ear)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.