Organization Active NPI

Barrington Cardiology SC

Doing business as Crystal Lake Cardiology

  • Cardiovascular Disease Physician
  • Fox River Grove, IL
National Provider Identifier
1235277203
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
BARRINGTON CARDIOLOGY SC
Doing business as
Crystal Lake Cardiology
Practice address
912 Northwest Hwy
#100
Fox River Grove, IL 60021-1925
Phone
(847) 516-2424
Fax
(847) 750-0390
NPI assigned
Feb 2, 2007
Last updated
Mar 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Authorized official

Name
Mr. Sunil N Kadakia, MDNPI 1780763516
Title
MD President
Phone
(847) 516-2424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X IL Primary

Addresses

Primary practice location

912 Northwest Hwy
#100
Fox River Grove, IL 60021-1925

Mailing address

912 W Northwest Hwy
#100
Fox River Grove, IL 60021
Phone (847) 516-2424

Other identifiers 2

IdentifierTypeStateIssuer
DE1026OtherILRR MC
05625392OtherILBC

Other names 1

  • Crystal Lake Cardiology Doing business as

National Provider Directory

National Provider Directory

Locations

912 Northwest Hwy
Fox River Grv, IL 60021
Phone (847) 516-1555

1089 N Salem Dr
Schaumburg, IL 60194
Phone (847) 786-8479

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1235277203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 W NORTHWEST HWY",
            "address_2": "#100",
            "city": "FOX RIVER GROVE",
            "state": "IL",
            "postal_code": "60021",
            "telephone_number": "847-516-2424",
            "fax_number": "847-750-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 NORTHWEST HWY",
            "address_2": "#100",
            "city": "FOX RIVER GROVE",
            "state": "IL",
            "postal_code": "600211925",
            "telephone_number": "847-516-2424",
            "fax_number": "847-750-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRINGTON CARDIOLOGY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "KADAKIA",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MD PRESIDENT",
        "authorized_official_telephone_number": "847-516-2424",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MC",
            "identifier": "DE1026",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "05625392",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crystal Lake Cardiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fox River Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.