Organization Active NPI

Marian Heart Rhythm Consultants SC

  • Clinical Cardiac Electrophysiology Physician
  • Chicago, IL
National Provider Identifier
1861007239
Registry record updated Sep 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
Legal business name
MARIAN HEART RHYTHM CONSULTANTS SC
Practice address
2222 W Division St Ste 205
Chicago, IL 60622-3094
Phone
(312) 593-1343
Fax
(630) 396-2677
NPI assigned
Sep 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2020

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

Authorized official

Name
Kristin Duque, MD
Title
Ceo
Phone
(312) 593-1343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0001X Primary

Addresses

Primary practice location

2222 W Division St Ste 205
Chicago, IL 60622-3094

Mailing address

1S376 Summit Ave Ste 4C
Oakbrook Terrace, IL 60181-3966
Phone (630) 424-1122

National Provider Directory

National Provider Directory

Locations

1431 N Western Ave
Ste 312
Chicago, IL 60622
Phone (773) 489-5124

NPI Registry JSON

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

{
    "created_epoch": "1599955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599955200000",
    "number": "1861007239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1S376 SUMMIT AVE STE 4C",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813966",
            "telephone_number": "630-424-1122",
            "fax_number": "630-396-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W DIVISION ST STE 205",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223094",
            "telephone_number": "312-593-1343",
            "fax_number": "630-396-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIAN HEART RHYTHM CONSULTANTS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-13",
        "last_updated": "2020-09-13",
        "certification_date": "2020-09-13",
        "status": "A",
        "authorized_official_last_name": "DUQUE",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-593-1343",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2020; 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.