Medical and Heart Clinic, S.C.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

036095027 Issued in IL

Legal business name

MEDICAL AND HEART CLINIC, S.C.

Practice address

1604 W Central Rd
Arlington Heights, IL 60005-2407

Phone

(630) 842-6496

Fax

(630) 792-9517

NPI assigned

May 2, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Biljana Pavlovic-Surjancev, M.D.NPI 1811066301

Title

President

Phone

(630) 842-6496

Specialties & licenses 2

Addresses

Other names 1

• Medical and Heart Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• Biljana Pavlovic-Surjancev, MD, PHD

  • Cardiovascular Disease Physician
  • Arlington Heights, IL
  • NPI 1811066301

  IL, Internal Medicine

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1811255433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1783 W WINDMILL CT",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601011865",
            "telephone_number": "630-842-6496",
            "fax_number": "630-792-9517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 W CENTRAL RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052407",
            "telephone_number": "630-842-6496",
            "fax_number": "630-792-9517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL AND HEART CLINIC, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "PAVLOVIC-SURJANCEV",
        "authorized_official_first_name": "BILJANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-842-6496",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036095027",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036095027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical and Heart Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Arlington Heights, IL
• Cardiovascular Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.