Consultants in Cardiology & Electrophysiololgy LLC

Primary specialty

Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X

License

036056254 Issued in IL

Legal business name

CONSULTANTS IN CARDIOLOGY & ELECTROPHYSIOLOLGY LLC

Practice address

3545 W 95TH St
Evergreen Park, IL 60805-2135

Phone

(708) 346-5562

Fax

(708) 346-2059

NPI assigned

Feb 11, 2008

Organization subpart

No

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

Authorized official

Name

Nouri Al-KhaledNPI 1760416713

Title

Member

Phone

(708) 346-5562

Specialties & licenses 15

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 24

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.

• Nouri Al-Khaled, M.D.

  • Cardiovascular Disease Physician
  • Evergreen Park, IL
  • NPI 1760416713
  Medicare reassignment Care Compare group Authorized official
• Bilaal M Hassan, FNP-BC

  • Family Nurse Practitioner
  • Evergreen Park, IL
  • NPI 1265180806
  Medicare reassignment Care Compare group NPD
• Jibi Jacob, CNP

  • Family Nurse Practitioner
  • Stone Park, IL
  • NPI 1851046247
  Medicare reassignment Care Compare group NPD
• Mohammad Tarek Kabbany, M.D.

  • Cardiovascular Disease Physician
  • Evergreen Park, IL
  • NPI 1174888945
  Medicare reassignment Care Compare group NPD
• Bahij Kreidieh

  • Clinical Cardiac Electrophysiology Physician
  • Evergreen Park, IL
  • NPI 1023462280
  Medicare reassignment Care Compare group NPD
• Adedotun A. Ogunsua, M.D.

  • Interventional Cardiology Physician
  • Evergreen Park, IL
  • NPI 1922448661
  Medicare reassignment Care Compare group NPD
• Kristin Rogers

  • Nurse Practitioner
  • Evergreen Park, IL
  • NPI 1093474942
  Medicare reassignment Care Compare group NPD
• Rachel Vetter, FNP

  • Family Nurse Practitioner
  • Evergreen Park, IL
  • NPI 1194573766
  Medicare reassignment Care Compare group NPD
• Alexandra Nicole Walters, FNP-BC

  • Nurse Practitioner
  • Evergreen Park, IL
  • NPI 1316582687
  Medicare reassignment Care Compare group NPD
• Annette Zaborski, APRN

  • Family Nurse Practitioner
  • Evergreen Park, IL
  • NPI 1609698885
  Medicare reassignment Care Compare group NPD
• Wassim Ballany, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Evergreen Park, IL
  • NPI 1023259777
  Medicare reassignment Care Compare group
• Thomas Bump, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Evergreen Park, IL
  • NPI 1013941053
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1477731685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 W 95TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052135",
            "telephone_number": "708-346-5562",
            "fax_number": "708-346-2059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 W 95TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052135",
            "telephone_number": "708-346-5562",
            "fax_number": "708-346-2059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5151 West 95th street",
            "address_2": "second floor",
            "address_purpose": "LOCATION",
            "city": "Oak Lawn",
            "state": "IL",
            "postal_code": "604532654",
            "country_code": "US",
            "telephone_number": "708-346-5562",
            "fax_number": "708-346-2059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CONSULTANTS IN CARDIOLOGY & ELECTROPHYSIOLOLGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "AL-KHALED",
        "authorized_official_first_name": "NOURI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "708-346-5562"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036096798",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036056254",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036062686",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036075929",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036110173",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036116130",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036110866",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036111020",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "IL",
            "license": "036056254",
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "IL",
            "license": "036062686",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "IL",
            "license": "036075929",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "IL",
            "license": "036116130",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "IL",
            "license": "036110173",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "IL",
            "license": "036110866",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036096798",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Cohen, DMD
• Colleen Marie Coleman
• Tasha Coleman, MA, LPC
• Colleen Collins-Suglich, PT
• Emily Connolly, MOTR/L
• Consultants in Clinical Pathology
• Consultants in Laboratory Medicine and Pathology, LTD.
• Peggy Lynn Cook, RN
• Core Fitness & Physical Therapy Inc.
• Core Sport & Physical Therapy PLLC

• Clinical Cardiac Electrophysiology Physician in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Clinical Cardiac Electrophysiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.