Advanced Heart Lipid Clinic

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ADVANCED HEART LIPID CLINIC

Practice address

4121 Fairview Ave
Suite 103
Downers Grove, IL 60515-2264

Phone

(630) 960-1844

Fax

(630) 852-0244

NPI assigned

Jul 13, 2006

Last updated

Jan 3, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Enas A. Enas, M.D.NPI 1093771040

Title

President

Phone

(630) 960-1844

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Advanced heart and healthcare center Former legal business name

Electronic endpoints 2

Locations

Interoperability endpoints

• Direct secure messaging: eenas251135@direct.myadvocateaurora.org

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Enas A. Enas, M.D.

  • Specialist
  • Downers Grove, IL
  • NPI 1093771040
  Authorized official Same address or phone

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641168000000",
    "number": "1902821887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 FAIRVIEW AVE",
            "address_2": "SUITE 103",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152264",
            "telephone_number": "630-960-1844",
            "fax_number": "630-852-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 FAIRVIEW AVE",
            "address_2": "SUITE 103",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152264",
            "telephone_number": "630-960-1844",
            "fax_number": "630-852-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEART LIPID CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A",
        "authorized_official_last_name": "ENAS",
        "authorized_official_first_name": "ENAS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-960-1844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATION LICENSE",
            "identifier": "042003489",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "4121 Fairview Ave",
            "address_2": "Suite 103",
            "city": "Downers Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605152264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eenas251135@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "4121 Fairview Ave",
            "address_2": "Suite 103",
            "city": "Downers Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605152264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Advanced heart and healthcare center",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Advanced heart and healthcare center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Adventist Health Partners, Inc (Healthcare for Women)
• Adventist Health Partners, Inc (Adult Medicine Physicians of Downers Grove)

• Specialist in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.