Associated Cardiovascular Physicians, S.C

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

ASSOCIATED CARDIOVASCULAR PHYSICIANS, S.C

Practice address

12400 S Harlem Ave Ste 112
Palos Heights, IL 60463-1477

Phone

(708) 923-7650

Fax

(708) 923-7655

NPI assigned

Sep 27, 2006

Organization subpart

No

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

Authorized official

Name

Patrick Poronsky

Title

Office Manager

Phone

(708) 923-7650

Specialties & licenses 4

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bassam Habbal, MD,FACC,FCCP

  • Interventional Cardiology Physician
  • Oak Lawn, IL
  • NPI 1427041243

  Cardiovascular Disease

  NPD (past)
• Marco Shaker, MD MS

  • Interventional Cardiology Physician
  • Palos Heights, IL
  • NPI 1508361577
  NPD (past)
• Ravi Rao, MD

  • Cardiovascular Disease Physician
  • Titusville, FL
  • NPI 1245288505
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546560000000",
    "number": "1720179831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12400 S HARLEM AVE STE 112",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631477",
            "telephone_number": "708-923-7650",
            "fax_number": "708-923-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12400 S HARLEM AVE STE 112",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631477",
            "telephone_number": "708-923-7650",
            "fax_number": "708-923-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED CARDIOVASCULAR PHYSICIANS, S.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2019-01-04",
        "status": "A",
        "authorized_official_last_name": "PORONSKY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "708-923-7650"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "1617658",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aretha Steele, PSYD, PLLC
• Abdurrahman Arif, MD
• Subramaniam Arumugam, M.D.
• Dalila Asad
• Ashley Larisey Speech Services PLLC
• Associated Urological Specialists LLC
• Associates in Professional Counseling Charles R Polcaster PHD PC
• Athletico LTD
• Athletico LTD
• Osama Khairy Atieh, M.D.

• Cardiovascular Disease Physician in Palos Heights, IL
• Providers in Palos Heights, 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 Jan 4, 2019; 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.