NPIMap

Organization Active NPI

Heart Care Centers of Illinois, SC

  • Cardiovascular Disease Physician
  • Palos Park, IL
National Provider Identifier
1508810086
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
042007998 Issued in IL
Legal business name
HEART CARE CENTERS OF ILLINOIS, SC
Practice address
13011 S 104TH Ave
Suite 100
Palos Park, IL 60464-1506
Phone
(708) 274-3278
Fax
(708) 274-3299
NPI assigned
May 20, 2006
Last updated
Dec 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Authorized official

Name
Mark F Berlin
Title
Coo
Phone
(708) 478-3600

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 042007998 IL
Cardiovascular Disease Physician 207RC0000X 042007998 IL Primary
Clinical Cardiac Electrophysiology Physician 207RC0001X 042007998 IL
Interventional Cardiology Physician 207RI0011X 042007998 IL
Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X NU

Addresses

Primary practice location

13011 S 104TH Ave
Suite 100
Palos Park, IL 60464-1506

Mailing address

13011 S 104TH Ave
Suite 100
Palos Park, IL 60464-1506
Phone (708) 478-3600

Other practice location 1

2121 Oneida St Ste 202
Joliet, IL 60435-6550
Phone (815) 823-8200

Other practice location 2

3231 Euclid Ave Ste 201
Berwyn, IL 60402-3472
Phone (708) 783-2055

Other practice location 3

10260 191st St Ste 102
Mokena, IL 60448-8802
Phone (708) 478-4224

Other practice location 4

11560 S Kedzie Ave # 100
Merrionette Park, IL 60803-4517
Phone (708) 824-1114

Other identifiers 5

IdentifierTypeStateIssuer
01621208OtherILBLUECROSS BLUESHIELD
CN2703OtherILRAILROAD MEDI GRP 236551
CD8033OtherILRAILROAD MEDI GR 236550
CG1672OtherILRAILROAD MEDICARE 416810
200261250MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031103000069 IL Part B Supplier - Clinic/Group Practice 6103738810 Receives reassigned benefits from 57 practitioners
Practice locations: Maywood, IL; Merrionette Park, IL; Mokena, IL; New Lenox, IL; Oak Lawn, IL; Orland Park, IL; Palos Heights, IL; Palos Hills, IL…

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0950949Heart Care Centers of Illinois SC10260 West 191St Street, Ste 102, Mokena, IL 60448Certificate of waiverSep 8, 2026
14D0985195Heart Care Centers of Illinois SC3231 S Euclid, Ste 201, Berwyn, IL 60402Provider-performed microscopyApr 9, 2027
14D1087643Heart Care Centers of Illinois S C2121 Oneida St - Ste 202, Joliet, IL 60435Certificate of waiverAug 7, 2026
14D2119368Heart Care Centers of Illinois11560 S Kedzie Ave - Ste 102, Merrionette Park, IL 60803Certificate of waiverSep 25, 2026

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

3231 Euclid Ave
Ste 400
Berwyn, IL 60402
Phone (708) 478-3600

12935 Gregory St
Fl 2
Blue Island, IL 60406
Phone (708) 535-6000

2310 York St
Ste 3A
Blue Island, IL 60406
Phone (708) 371-2057

329 Remington Blvd
Ste 200A
Bolingbrook, IL 60440
Phone (630) 754-4300

1901 W Harrison St
#J
Chicago, IL 60612

1640 Willow Circle Dr
Unit 200
Crest Hill, IL 60403
Phone (815) 723-6715

3330 W 177th St
#A
Hazel Crest, IL 60429
Phone (708) 799-1100

911 N Elm St
Ste 328
Hinsdale, IL 60521
Phone (630) 222-2951

195 Springfield Ave
Unit 201
Joliet, IL 60435
Phone (815) 823-8200

500 N Wall St
Ste 501
Kankakee, IL 60901
Phone (815) 937-9300

890 Garfield Ave
Ste 101
Libertyville, IL 60048
Phone (847) 990-5636

11560 S Kedzie Ave
#100
Merrionette Park, IL 60803
Phone (708) 824-1114

11620S Kedzie Ave
Merrionette Park, IL 60803
Phone (708) 597-7656

10260 191st St
Mokena, IL 60448
Phone (708) 215-3899

10260 191st St
Ste 102
Mokena, IL 60448
Phone (708) 478-4224

19001 Old Lagrange Rd
Mokena, IL 60448
Phone (708) 478-3600

13011 S 104th Ave
Ste 100
Palos Park, IL 60464
Phone (708) 274-3278

7000 Caton Farm Rd
Ste K
Plainfield, IL 60586
Phone (815) 609-5370

7411 Lake St
#2110B
River Forest, IL 60305
Phone (708) 763-2740

Practitioners & affiliated clinicians

Practitioners 85

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.

View all 85

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766102400000",
    "number": "1508810086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13011 S 104TH AVE",
            "address_2": "SUITE 100",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604641506",
            "telephone_number": "708-478-3600",
            "fax_number": "708-478-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13011 S 104TH AVE",
            "address_2": "SUITE 100",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604641506",
            "telephone_number": "708-274-3278",
            "fax_number": "708-274-3299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2121 Oneida St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Joliet",
            "state": "IL",
            "postal_code": "604356550",
            "country_code": "US",
            "telephone_number": "815-823-8200",
            "fax_number": "815-823-8201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3231 Euclid Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Berwyn",
            "state": "IL",
            "postal_code": "604023472",
            "country_code": "US",
            "telephone_number": "708-783-2055",
            "fax_number": "708-783-2181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10260 191st St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Mokena",
            "state": "IL",
            "postal_code": "604488802",
            "country_code": "US",
            "telephone_number": "708-478-4224",
            "fax_number": "708-478-4033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11560 S Kedzie Ave # 100",
            "address_purpose": "LOCATION",
            "city": "Merrionette Park",
            "state": "IL",
            "postal_code": "608034517",
            "country_code": "US",
            "telephone_number": "708-824-1114",
            "fax_number": "708-824-9341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEART CARE CENTERS OF ILLINOIS, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A",
        "authorized_official_last_name": "BERLIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "708-478-3600"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "042007998",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "042007998",
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "IL",
            "license": "042007998",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "042007998",
            "primary": false
        },
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "01621208",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDI GRP 236551",
            "identifier": "CN2703",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDI GR 236550",
            "identifier": "CD8033",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE 416810",
            "identifier": "CG1672",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200261250",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.