Organization Active NPI

Cardiology-Internal Medicine Consultants, S.C.

  • Internal Medicine Physician
  • Tinley Park, IL
National Provider Identifier
1568484665
Registry record updated Nov 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036088831 Issued in IL
Legal business name
CARDIOLOGY-INTERNAL MEDICINE CONSULTANTS, S.C.
Practice address
16532 S Oak Park Ave
Suite 200
Tinley Park, IL 60477-2273
Phone
(708) 532-1104
Fax
(708) 532-5539
NPI assigned
Jul 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2008

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

Authorized official

Name
Dr. Ruben Chuquimia, M.D.
Title
President
Phone
(708) 532-1104

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 036088831 IL Primary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 036046105 IL

Addresses

Primary practice location

16532 S Oak Park Ave
Suite 200
Tinley Park, IL 60477-2273

Mailing address

16532 S Oak Park Ave
Suite 200
Tinley Park, IL 60477-2273
Phone (708) 532-1104

Other identifiers 2

IdentifierTypeStateIssuer
CK6656OtherILRAILROAD MEDICARE
01633130OtherILBLUE SHIELD OF ILLINOIS

National Provider Directory

National Provider Directory

Locations

6701 159th St
Ste A
Tinley Park, IL 60477
Phone (708) 532-1104

16532 Oak Park Ave
Ste 200
Tinley Park, IL 60477
Phone (708) 532-1104

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226880000000",
    "number": "1568484665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16532 S OAK PARK AVE",
            "address_2": "SUITE 200",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604772273",
            "telephone_number": "708-532-1104",
            "fax_number": "708-532-5539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16532 S OAK PARK AVE",
            "address_2": "SUITE 200",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604772273",
            "telephone_number": "708-532-1104",
            "fax_number": "708-532-5539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOLOGY-INTERNAL MEDICINE CONSULTANTS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-11-17",
        "status": "A",
        "authorized_official_last_name": "CHUQUIMIA",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-532-1104",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036088831",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036046105",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK6656",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF ILLINOIS",
            "identifier": "01633130",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; 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.