Organization Active NPI

Tinley Orland Medical Center LLC

Doing business as Advocate Christ Cardiovascular Institute

  • Cardiovascular Specialist/Technologist
  • Tinley Park, IL
National Provider Identifier
1619903119
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Specialist/TechnologistTaxonomy code 246X00000X
Legal business name
TINLEY ORLAND MEDICAL CENTER LLC
Doing business as
Advocate Christ Cardiovascular Institute
Practice address
18210 La Grange Rd
Suite 210
Tinley Park, IL 60487
Phone
(708) 342-7950
Fax
(708) 342-7962
NPI assigned
Jun 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dominica Tallarico
Title
VP Ambulatory Services
Phone
(708) 684-5014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Specialist/Technologist 246X00000X Primary

Addresses

Primary practice location

18210 La Grange Rd
Suite 210
Tinley Park, IL 60487

Mailing address

18210 La Grange Rd
Suite 210
Tinley Park, IL 60487
Phone (708) 342-7950

Other identifiers 2

IdentifierTypeStateIssuer
DC0037OtherILRAILROAD MEDICARE GRP
01634400OtherILBCBS GROUP

Other names 1

  • ADVOCATE CHRIST CARDIOVASCULAR INSTITUTE Doing business as

National Provider Directory

National Provider Directory

Locations

21067 Network Pl
Chicago, IL 60673

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619903119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18210 LA GRANGE RD",
            "address_2": "SUITE 210",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "60487",
            "telephone_number": "708-342-7950",
            "fax_number": "708-342-7962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18210 LA GRANGE RD",
            "address_2": "SUITE 210",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "60487",
            "telephone_number": "708-342-7950",
            "fax_number": "708-342-7962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINLEY ORLAND MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TALLARICO",
        "authorized_official_first_name": "DOMINICA",
        "authorized_official_title_or_position": "VP AMBULATORY SERVICES",
        "authorized_official_telephone_number": "708-684-5014"
    },
    "taxonomies": [
        {
            "code": "246X00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GRP",
            "identifier": "DC0037",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "01634400",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVOCATE CHRIST CARDIOVASCULAR INSTITUTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.