Cardio-Medicine SC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

036044355 Issued in IL

Legal business name

CARDIO-MEDICINE SC

Practice address

9830 Ridgeland Ave
Ste 5
Chicago Ridge, IL 60415-2667

Phone

(708) 422-8282

Fax

(708) 422-9111

NPI assigned

Aug 28, 2006

Last updated

Aug 26, 2014By 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

Randi S Janicek

Title

Practice Manager

Phone

(708) 422-8282

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1225146483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9210 PAYSPHERE CIR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606740092",
            "telephone_number": "708-422-8282",
            "fax_number": "708-422-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9830 RIDGELAND AVE",
            "address_2": "STE 5",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604152667",
            "telephone_number": "708-422-8282",
            "fax_number": "708-422-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIO-MEDICINE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "JANICEK",
        "authorized_official_first_name": "RANDI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "708-422-8282"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036044355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen M Brann, APN
• Aidan Martin Brodie, COTA
• Kristen Bugajski
• Violet Hunter Cabot, M.S. CCC-SLP
• Cagles Dialysis LLC (Chicago Ridge Dialysis)
• Jonathan Casabal, PTA
• Kaely Rose Cassidy, M.S., SLP/L
• Celeste Marie Cassin, LPN
• Bassem Chaar, M.D.
• Abdullah B Chahin, MD

• Cardiovascular Disease Physician in Chicago Ridge, IL
• Providers in Chicago Ridge, IL by specialty
• Cardiovascular Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.