Active NPI
Marian Heart Rhythm Consultants SC
- Clinical Cardiac Electrophysiology Physician
- Chicago, IL
National Provider Identifier
1861007239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Cardiac Electrophysiology Physician | 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 DirectoryLocations
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.