Wicker Park Heart Specialists, LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

WICKER PARK HEART SPECIALISTS, LLC

Practice address

2222 W Division St
Suite 300
Chicago, IL 60622-2717

Phone

(773) 292-9791

Fax

(773) 292-9792

NPI assigned

Sep 16, 2006

Last updated

Feb 7, 2012By 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

Dr. Danilo Angeles Deano, M.D.NPI 1982709879

Title

President

Phone

(773) 292-9791

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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.

• Danilo Angeles Deano, M.D.

  • Cardiovascular Disease Physician
  • Chicago, IL
  • NPI 1982709879
  Authorized official Same address or phone

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1376649319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 W DIVISION ST",
            "address_2": "SUITE 300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222717",
            "telephone_number": "773-292-9791",
            "fax_number": "773-292-9792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W DIVISION ST",
            "address_2": "SUITE 300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222717",
            "telephone_number": "773-292-9791",
            "fax_number": "773-292-9792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICKER PARK HEART SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "DEANO",
        "authorized_official_first_name": "DANILO",
        "authorized_official_middle_name": "ANGELES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-292-9791",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CJ3188",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IL",
            "identifier": "1630322",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Wickens, MS, RDN
• Wicker Park Chiropractic Health
• Wicker Park Dental LLC
• Wicker Park Dental, LTD (Wicker Park Dental Group)
• Wicker Park Eye Center LTD
• Wicker Park Orthodontia, LTD. (Wicker Park Orthodontics)
• Wicker Park Renaissance
• Wicker Park Spine and Stability, LLC
• Wicker Park Therapy Group, PLLC
• Gina Wickersheim

• Cardiovascular Disease Physician in Chicago, IL
• Providers in Chicago, 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 Feb 7, 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.

Verify at the official NPI Registry.