Organization Active NPI

Cardiacfit LLC

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1710575279
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
CARDIACFIT LLC
Practice address
2504 N Richmond St Unit 1
Chicago, IL 60647-2620
Phone
(360) 798-8738
NPI assigned
Jan 8, 2021
Last updated
Jan 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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

Authorized official

Name
Edward Brian Bendoraitis, EXERCISE PHYS
Title
Ceo
Phone
(773) 230-1969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

2504 N Richmond St Unit 1
Chicago, IL 60647-2620

Mailing address

2504 N Richmond St Unit 1
Chicago, IL 60647-2620
Phone (360) 798-8738

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610064000000",
    "number": "1710575279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 N RICHMOND ST UNIT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606472620",
            "telephone_number": "360-798-8738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 N RICHMOND ST UNIT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606472620",
            "telephone_number": "360-798-8738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIACFIT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-08",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-07",
        "status": "A",
        "authorized_official_last_name": "BENDORAITIS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-230-1969",
        "authorized_official_credential": "EXERCISE PHYS"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; 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.