Active NPI
Cardiac Ep Consultants SC
- Clinical Cardiac Electrophysiology Physician
- Libertyville, IL
National Provider Identifier
1730139924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- Legal business name
- CARDIAC EP CONSULTANTS SC
- Practice address
- 900 Technology Way
Suite 220
Libertyville, IL 60048-5364 - Phone
- (847) 367-7171
- Fax
- (847) 367-7177
- NPI assigned
- May 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mehran Jabbarzadeh, MD
- Title
- Owner/President
- Phone
- (847) 367-7171
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | IL | Primary |
Addresses
Primary practice location
900 Technology Way
Suite 220
Libertyville, IL 60048-5364
Mailing address
PO Box 175
Lincolnshire, IL 60069-0175
Phone (847) 367-7171
National Provider Directory
National Provider DirectoryLocations
27750 W Highway 22
Ste 250
Barrington, IL 60010
Phone (847) 364-0800
1641 N Milwaukee Ave
Ste 8
Libertyville, IL 60048
900 Technology Way
Unit 22
Libertyville, IL 60048
900 Technology Way
Ste 220
Libertyville, IL 60048
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Libertyville, IL
- NPI 1316086879
-
- Clinical Cardiac Electrophysiology Physician
- Greeley, CO
- NPI 1679541338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1730139924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 175",
"city": "LINCOLNSHIRE",
"state": "IL",
"postal_code": "600690175",
"telephone_number": "847-367-7171",
"fax_number": "847-367-7177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 TECHNOLOGY WAY",
"address_2": "SUITE 220",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600485364",
"telephone_number": "847-367-7171",
"fax_number": "847-367-7177"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDIAC EP CONSULTANTS SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-11",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "JABBARZADEH",
"authorized_official_first_name": "MEHRAN",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "847-367-7171",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Libertyville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.