Active NPI
North Lake Cardiovascular Center PC
- Cardiovascular Disease Physician
- Gurnee, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 036101448
- Legal business name
- NORTH LAKE CARDIOVASCULAR CENTER PC
- Practice address
- 310 S Greenleaf St
Suite 212
Gurnee, IL 60031-5708 - Phone
- (847) 360-1000
- Fax
- (847) 360-1001
- NPI assigned
- Aug 25, 2009
- 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
- Dr. Ahmed S Hashim, M.D.
- Title
- Ceo
- Phone
- (847) 360-1000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 036101448 | IL | Primary |
Addresses
Primary practice location
310 S Greenleaf St
Suite 212
Gurnee, IL 60031-5708
Mailing address
310 S Greenleaf St
Suite 212
Gurnee, IL 60031-5708
Phone (847) 360-1000
Other practice location 1
1795 N Butterfield Rd Ste 102
Libertyville, IL 60048-1212
Phone (847) 360-1000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0004933281 | Other | IL | BCBS |
| 036101448 | Medicaid | IL |
Other names 1
- Northlake Cardiovascular Center P.C.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1795 N Butterfield Rd
Ste 102
Libertyville, IL 60048
Phone (847) 360-1000
1201 American Way
Libertyville, IL 60048
Phone (847) 371-6500
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Gurnee, IL
- NPI 1841258266
-
- Family Nurse Practitioner
- Gurnee, IL
- NPI 1538935507
-
- Family Nurse Practitioner
- Libertyville, IL
- NPI 1922557370
-
- Physician Assistant
- Waukegan, IL
- NPI 1437667037
-
- Nurse Practitioner
- Gurnee, IL
- NPI 1417522780
-
- Cardiovascular Disease Physician
- Jackson, TN
- NPI 1679511026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769990400000",
"number": "1457584450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 S GREENLEAF ST",
"address_2": "SUITE 212",
"city": "GURNEE",
"state": "IL",
"postal_code": "600315708",
"telephone_number": "847-360-1000",
"fax_number": "847-360-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 S GREENLEAF ST",
"address_2": "SUITE 212",
"city": "GURNEE",
"state": "IL",
"postal_code": "600315708",
"telephone_number": "847-360-1000",
"fax_number": "847-360-1001"
}
],
"practiceLocations": [
{
"address_1": "1795 N Butterfield Rd Ste 102",
"address_purpose": "LOCATION",
"city": "Libertyville",
"state": "IL",
"postal_code": "600481212",
"country_code": "US",
"telephone_number": "847-360-1000",
"fax_number": "847-360-1001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NORTH LAKE CARDIOVASCULAR CENTER PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-25",
"last_updated": "2026-02-02",
"certification_date": "2026-02-02",
"status": "A",
"authorized_official_last_name": "HASHIM",
"authorized_official_first_name": "AHMED",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "847-360-1000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036101448",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0004933281",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036101448",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Northlake Cardiovascular Center P.C.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Gurnee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; 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.