Chicago Heart and Vascular Centers LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

CHICAGO HEART AND VASCULAR CENTERS LLC

Practice address

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

Phone

(708) 346-5562

NPI assigned

Oct 2, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Nouri Al Khaled

Title

MD

Phone

(708) 346-5562

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506902400000",
    "number": "1578073888",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO HEART AND VASCULAR CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-02",
        "last_updated": "2017-10-02",
        "status": "A",
        "authorized_official_last_name": "AL KHALED",
        "authorized_official_first_name": "NOURI",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "708-346-5562",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahmad Chatila, MD
• Christopher Chelini, DC
• Kevin Matthew Chentorycki, PHARMD
• Sarah Chewning, APN-CNP
• Chicago Dental Salon, P.C.
• Gina Marie Chigaros, LCPC
• Tara Childress-Jackson, SLPA
• Dinesh Chinthagada, M.D.
• Sreedevi Chittineni, M.D.
• Christine Cho

• Cardiovascular Disease Physician in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Cardiovascular Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; 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.