Heart Care Centers of South Chicago, LTD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

HEART CARE CENTERS OF SOUTH CHICAGO, LTD

Practice address

9011 S Commercial Ave
Chicago, IL 60617-4304

Phone

(773) 933-0700

NPI assigned

Mar 19, 2008

Organization subpart

No

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

Authorized official

Name

Virendra Bisla, MDNPI 1073682910

Title

President

Phone

(773) 933-0700

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Virendra Bisla, MD

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1073682910

  IL, Internal Medicine

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574640000000",
    "number": "1295906147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 W LINCOLN HWY",
            "address_2": "SUITE 200W",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463751638",
            "telephone_number": "219-934-5300",
            "fax_number": "219-934-5389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9011 S COMMERCIAL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606174304",
            "telephone_number": "773-933-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART CARE CENTERS OF SOUTH CHICAGO, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2019-11-25",
        "status": "A",
        "authorized_official_last_name": "BISLA",
        "authorized_official_first_name": "VIRENDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-933-0700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01639084",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200906430",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Todd Hearns, DMD
• Carlton Noel Hearon
• Paris Simone Hearon, LSW
• Heart & Grace Homecare LLC
• Heart & Mind, LLC
• Heart Care USA
• Heart of Chicago Home Care LLC
• Heart of Gold Chicago PLLC
• Heart of Health PLLC
• Heart of Wisdom LLC

• All providers in Chicago, IL
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.