Organization Active NPI

Cardiac Ep Consultants SC

  • Clinical Cardiac Electrophysiology Physician
  • Libertyville, IL
National Provider Identifier
1730139924
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
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

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.