Valley Medical & Cardiac Clinic, LTD.

Primary specialty

SpecialistTaxonomy code 174400000X

License

174400000X Issued in IL

Legal business name

VALLEY MEDICAL & CARDIAC CLINIC, LTD.

Practice address

87 N. Airlite Sttreet
Suite 100
Elgin, IL 60123-5879

Phone

(847) 888-2557

Fax

(847) 888-2591

NPI assigned

Jul 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Richard Park, M.D.

Title

President

Phone

(847) 888-2557

Specialties & licenses 1

Addresses

Other names 1

• Valley Medical & Cardiac Clinic Doing business as

Locations

Practitioners 5

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

• Afroz A Hai, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Hoffman Estates, IL
  • NPI 1427208099
  NPD (past)
• Andreina Martinez, APN

  • Family Nurse Practitioner
  • Elgin, IL
  • NPI 1730930876
  NPD (past)
• Timothy Wang, MD

  • Cardiovascular Disease Physician
  • Elgin, IL
  • NPI 1063428290
  NPD (past)
• Thomas Kurian, MD

  • Interventional Cardiology Physician
  • Lawrence, KS
  • NPI 1669587499
  NPD (past)
• Tom K Stathopoulos, M.D.

  • Cardiovascular Disease Physician
  • Greeneville, TN
  • NPI 1922053511
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282003200000",
    "number": "1477575504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 N AIRLITE ST",
            "address_2": "SUITE 100",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234988",
            "telephone_number": "847-888-2557",
            "fax_number": "847-888-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 N. AIRLITE STTREET",
            "address_2": "SUITE 100",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601235879",
            "telephone_number": "847-888-2557",
            "fax_number": "847-888-2591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY MEDICAL & CARDIAC CLINIC, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2010-08-17",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-888-2557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "174400000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Medical & Cardiac Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marlyn Valena, M.D.
• Kristin Diane Valente, RN
• Cisco Valentine
• Meghan Valleau, PA
• Valley Counseling, LLC
• Valley Obstetrics & Gynecology
• Valley Psychiatry and Counseling, LLC
• Values Forward for Health LLC
• Brittany P Van Ert, NP
• Vanessa Lauren Van Putten, MSN

• All providers in Elgin, IL
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; 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.