CARDIOSPECIALISTS GROUP LTD (NPI# 1194844050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194844050 |
| Entity Type | Organization |
| Organization Name | CARDIOSPECIALISTS GROUP LTD |
| Practice Address |
20303 Crawford Ave Suite Ll3 Olympia Fields IL 60461-1073 |
| Practice Telephone | 7087489800 |
| Practice Fax Number | 7087489807 |
| Mailing Telephone | 7087489800 |
| Mailing Fax Number | 7087489807 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2014-03-28 |
| Authorized Official Name | DR. BRAD L SUPRENANT (PRESIDENT) |
| Authorized Official Telephone | 7087489800 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
036071427 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316059942 | Cardiospecialists Group Ltd | Internal Medicine | 375 N Wall St, Suite 420, Kankakee, IL 60901-3483 | 2006-08-31 |
| 1679685705 | Cardiospecialists Group Ltd | Internal Medicine | 801 Macarthur Blvd, Suite 203, Munster, IN 46321 | 2006-08-31 |
| Street Address |
20303 CRAWFORD AVE SUITE LL3 |
| City | OLYMPIA FIELDS |
| State | IL |
| Zip Code | 60461-1073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528172954 | Richard Floyd Multack | Ophthalmology | 20303 Crawford Ave, Suite Ll 1, Olympia Fields, IL 60461-1073 | 2006-08-19 |
| 1346745577 | Dr Snead and Associates Integrative Medicine Practice Inc | Clinic/Center | 20303 Crawford Ave, Olympia Fields, IL 60461-1073 | 2018-03-28 |
| 1710381181 | Kimberly Wicks | Nurse Practitioner | 20303 Crawford Ave, Suite 220, Olympia Fields, IL 60461-1073 | 2014-10-14 |
| 1851703367 | Connie Shyu | Physician Assistant | 20303 Crawford Ave, Suite 110, Olympia Fields, IL 60461-1073 | 2014-06-02 |
| 1588007629 | Diane L Egan | Nutritionist | 20303 Crawford Ave, Suite 220, Olympia Fields, IL 60461-1073 | 2013-04-08 |
| 1518215714 | Eve Health Center | Podiatrist | 20303 Crawford Ave, Suite 210, Olympia Fields, IL 60461-1041 | 2012-08-17 |
| 1568717023 | Nellie N Plummer | Optometrist | 20303 Crawford Ave, Olympia Fields, IL 60461-1073 | 2012-07-19 |
| 1851655989 | Multack Eye Care, S.c | Ophthalmology | 20303 Crawford Ave, Suite Ll1, Olympia Fields, IL 60461-1073 | 2012-07-04 |
| 1184904526 | Shifrin Group LLC | Ophthalmology | 20303 Crawford Ave, Ll1, Olympia Fields, IL 60461-1173 | 2011-08-17 |
| 1003110289 | Shirley Ann Golladay | Counselor | 20303 Crawford Ave, Suite 100, Olympia Fields, IL 60461-1073 | 2011-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609372564 | Katherine Gill Haddad | Student in an Organized Health Care Education/Training Program | 20201 S. Crawford Avenue, Attn: Postdoctoral Education, Olympia Fields, IL 60461 | 2018-03-31 |
| 1750886610 | Kim Minh Dang | Student in an Organized Health Care Education/Training Program | 20201 South Crawford, Olympia Fields, IL 60461 | 2018-03-23 |
| 1619484110 | Alexandra N. Douvas | Dentist | 20180 Governors Hwy, Ste 104, Olympia Fields, IL 60461 | 2018-01-05 |
| 1992258438 | Krystyne Doty | Nurse Practitioner | 3800 W 203rd St Ste 209, Olympia Fields, IL 60461 | 2016-08-02 |
| 1205286747 | Shirlene Umali | Registered Nurse | 20201 South Crawford Ave, Olympia Fields, IL 60461 | 2016-06-15 |
| 1386002590 | Touch of Wholeness Psychological Services, LLC | Psychologist | 20280 Governors Dr, Suite 207, Olympia Fields, IL 60461 | 2016-02-02 |
| 1063895357 | David Dardick | Dentist | 20180 Governors Hwy Ste 104, Olympia Fields, IL 60461 | 2015-07-04 |
| 1811378623 | Fins Healthcare Agency | Nursing Care | 3612 Lincohn Highway, Suite 19, Olympia Fields, IL 60461 | 2015-06-17 |
| 1285048959 | Garud Ranga Raj | Orthopaedic Surgery | 20817 Alexander St, Olympia Fields, IL 60461 | 2014-06-20 |
| 1811316334 | Brett Hapeman | Emergency Medicine | 20201 S Crawford, Attn: Postdoctoral Education, Olympia Fields, IL 60461 | 2014-04-11 |
| Find all providers in zip 60461 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508363185 | Deaconess Specialty Physicians, Inc | Internal Medicine | 1340 Il Highway 1 Ste A, Carmi, IL 62821 | 2018-04-10 |
| 1568637833 | Krishnaswami Sriram | Internal Medicine | 611 Hunter Ln, Lake Forest, IL 60045-4905 | 2008-04-28 |
| 1083712467 | Ohio Valley Heartcare Inc | Internal Medicine | 1405 Locust St, Eldorado, IL 62930-1629 | 2006-09-20 |
| 1912917030 | Martin C Burke | Internal Medicine | 1006 S Michigan Ave, Suite 501, Chicago, IL 60605-2254 | 2006-08-09 |
| 1316998578 | West Suburban Cardiologists, Ltd. | Internal Medicine | 3118 N Ashland Ave, Chicago, IL 60657-3014 | 2006-05-13 |
| 1952359242 | Samer Dibs | Internal Medicine | 2222 W Division St Ste 340, Chicago, IL 60622-2995 | 2006-05-05 |
| 1164483145 | Mehran Jabbarzadeh | Internal Medicine | 900 Technology Way Ste 220, Libertyville, IL 60048-5364 | 2006-03-30 |
| 1497754634 | Rebecca Sue Riepshoff | Internal Medicine | Three Saint Elizabeth Blvd Ste 2800, O Fallon, IL 62269-1282 | 2005-07-19 |
| 1093712481 | Erica D Engelstein | Internal Medicine | 7447 W Talcott Ave Ste 222, Chicago, IL 60631-3713 | 2005-06-30 |
| 1861007239 | Marian Heart Rhythm Consultants Sc | Internal Medicine | 2222 W Division St Ste 205, Chicago, IL 60622-3094 | 2020-09-13 |
| Find all providers with the same taxonomy | ||||
| City | OLYMPIA FIELDS |
| Zip Code | 60461 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.