NPIMap

Organization Active NPI

Southwest Cardiovascular Consultants,SC

  • Cardiovascular Disease Physician
  • Joliet, IL
National Provider Identifier
1679522403
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
042007380 Issued in IL
Legal business name
SOUTHWEST CARDIOVASCULAR CONSULTANTS,SC
Practice address
2801 Black Rd
Suite a
Joliet, IL 60435-2929
Phone
(815) 740-1100
Fax
(815) 725-2413
NPI assigned
May 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

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

Authorized official

Name
Dr. Dennis M. Killian, M.D.
Title
President
Phone
(815) 740-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 042007380 IL Primary

Addresses

Primary practice location

2801 Black Rd
Suite a
Joliet, IL 60435-2929

Mailing address

2801 Black Rd
Suite a
Joliet, IL 60435-2929
Phone (815) 740-1900

Other identifiers 1

IdentifierTypeStateIssuer
211929OtherILMEDICARE GROUP NUMBER

National Provider Directory

National Provider Directory

Locations

2801 Black Rd
Ste 102
Joliet, IL 60435

2801 Black Rd
Ste A
Joliet, IL 60435
Phone (815) 740-1100

Practitioners & affiliated clinicians

Practitioners 6

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": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392076800000",
    "number": "1679522403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 BLACK RD",
            "address_2": "SUITE A",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604352929",
            "telephone_number": "815-740-1900",
            "fax_number": "815-725-2413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 BLACK RD",
            "address_2": "SUITE A",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604352929",
            "telephone_number": "815-740-1100",
            "fax_number": "815-725-2413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST CARDIOVASCULAR CONSULTANTS,SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2014-02-11",
        "status": "A",
        "authorized_official_last_name": "KILLIAN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-740-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "042007380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "211929",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; 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.