Northwest Cardiology Associates SC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

036090812 Issued in IL

Legal business name

NORTHWEST CARDIOLOGY ASSOCIATES SC

Practice address

400 W Northwest Hwy
Barrington, IL 60010-3049

Phone

(847) 382-4600

Fax

(847) 382-1771

NPI assigned

Mar 12, 2009

Last updated

Oct 26, 2015By 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

Michael N Fortsas, MD

Title

President

Phone

(847) 382-4600

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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.

• Abdulrahman Azmy Abutaleb, M.D.

  • Interventional Cardiology Physician
  • Barrington, IL
  • NPI 1891185609

  Cardiovascular Disease

  NPD

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445817600000",
    "number": "1982845566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3730",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600113730",
            "telephone_number": "847-382-4600",
            "fax_number": "847-382-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W NORTHWEST HWY",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600103049",
            "telephone_number": "847-382-4600",
            "fax_number": "847-382-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST CARDIOLOGY ASSOCIATES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-12",
        "last_updated": "2015-10-26",
        "status": "A",
        "authorized_official_last_name": "FORTSAS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-382-4600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036090812",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036090812",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROV #",
            "identifier": "4933204",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036090812",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin Noe
• David E Norbeck Jr., M.D.
• Laura L Nordgren, AGPCNP-BC
• North Star Counseling Center
• Northland Hearing Centers, Inc. (The Hearing Lab)
• Northwest Dental Associates, LTD
• Northwest Eye Center
• Northwest Oncology & Hematology, S.C.
• Northwest Primary Healthcare, S.C.
• Novas, Dohr & Coll OB GYN Associates,S.C.

• Cardiovascular Disease Physician in Barrington, IL
• Providers in Barrington, IL by specialty
• Cardiovascular Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; 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.