Organization Active NPI

Icardia Healthcare Corp.

  • Physiological Laboratory
  • Vernon Hills, IL
National Provider Identifier
1609827344
Registry record updated Sep 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
ICARDIA HEALTHCARE CORP.
Practice address
935 Lakeview Parkway
Suite 198
Vernon Hills, IL 60061
Phone
(224) 207-1030
Fax
(866) 604-8037
NPI assigned
May 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2008

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

Authorized official

Name
Mr. Brendan K. Beggin
Title
Chief Financial Officer
Phone
(224) 207-1030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

935 Lakeview Parkway
Suite 198
Vernon Hills, IL 60061

Mailing address

935 Lakeview Parkway
Suite 198
Vernon Hills, IL 60061
Phone (224) 207-1030

National Provider Directory

National Provider Directory

Locations

150 N Field Dr
Ste 170
Lake Forest, IL 60045
Phone 84745770007001

935 Lakeview Pkwy
Ste 198
Vernon Hills, IL 60061
Phone (224) 207-1030

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220572800000",
    "number": "1609827344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 LAKEVIEW PARKWAY",
            "address_2": "SUITE 198",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "60061",
            "telephone_number": "224-207-1030",
            "fax_number": "866-604-8037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 LAKEVIEW PARKWAY",
            "address_2": "SUITE 198",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "60061",
            "telephone_number": "224-207-1030",
            "fax_number": "866-604-8037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARDIA HEALTHCARE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2008-09-05",
        "status": "A",
        "authorized_official_last_name": "BEGGIN",
        "authorized_official_first_name": "BRENDAN",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "224-207-1030",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.