Organization Active NPI

Heartcare Cardiovascular Specialists, SC

  • Cardiovascular Disease Physician
  • Libertyville, IL
National Provider Identifier
1811941222
Registry record updated Aug 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
36094108 Issued in IL
Legal business name
HEARTCARE CARDIOVASCULAR SPECIALISTS, SC
Practice address
755 S Milwaukee Ave
Suite 263
Libertyville, IL 60048-3253
Phone
(847) 918-1500
Fax
(847) 918-7850
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2011

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

Authorized official

Name
Dr. Timothy James Alikakos, M.D.
Title
President
Phone
(847) 918-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 36094108 IL Primary

Addresses

Primary practice location

755 S Milwaukee Ave
Suite 263
Libertyville, IL 60048-3253

Mailing address

PO Box 550
Libertyville, IL 60048-0550
Phone (847) 918-1500

National Provider Directory

National Provider Directory

Locations

755 S Milwaukee Ave
Ste 164
Libertyville, IL 60048
Phone (847) 247-0187

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": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312934400000",
    "number": "1811941222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600480550",
            "telephone_number": "847-918-1500",
            "fax_number": "847-918-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 S MILWAUKEE AVE",
            "address_2": "SUITE 263",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483253",
            "telephone_number": "847-918-1500",
            "fax_number": "847-918-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTCARE CARDIOVASCULAR SPECIALISTS, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2011-08-10",
        "status": "A",
        "authorized_official_last_name": "ALIKAKOS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-918-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "36094108",
            "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 Aug 10, 2011; 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.