Active NPI
Lake Forest Cardiology LLC
- Internal Medicine Physician
- Lake Forest, IL
National Provider Identifier
1922342245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- LAKE FOREST CARDIOLOGY LLC
- Practice address
- 611 Hunter LN
Lake Forest, IL 60045-4905 - Phone
- (847) 615-2273
- NPI assigned
- Nov 27, 2012
- Last updated
- Apr 5, 2013
- 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
- Dr. Krishnaswami Sriram, MD
- Title
- Member
- Phone
- (847) 615-2273
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Cardiovascular Disease Physician | 207RC0000X | |||
| Clinical Cardiac Electrophysiology Physician | 207RC0001X |
Addresses
Primary practice location
611 Hunter LN
Lake Forest, IL 60045-4905
Mailing address
611 Hunter LN
Lake Forest, IL 60045-4905
Phone (847) 615-2273
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Clinical Cardiac Electrophysiology Physician
- Lake Forest, IL
- NPI 1568637833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353974400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1365120000000",
"number": "1922342245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 HUNTER LN",
"city": "LAKE FOREST",
"state": "IL",
"postal_code": "600454905",
"telephone_number": "847-615-2273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 HUNTER LN",
"city": "LAKE FOREST",
"state": "IL",
"postal_code": "600454905",
"telephone_number": "847-615-2273"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKE FOREST CARDIOLOGY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-27",
"last_updated": "2013-04-05",
"status": "A",
"authorized_official_last_name": "SRIRAM",
"authorized_official_first_name": "KRISHNASWAMI",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "847-615-2273",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Forest, IL
- Alex B Labby, MD
- Kevin M Lage
- Colleen Marie Lahendro, APRN, CNP
- Lake County Crisis Center for the Prevention and Treatment of Domestic (A Safe Place)
- Lake Forest Cardiology
- Lake Forest Comm H S Dist 115
- Lake Forest Dental Associates
- Lake Forest Dental Associates, PC
- Lake Forest Ear Nose and Throat LTD
- Lake Forest Hearing Professionals, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.