CHANDRA DIAGNOSTIC CARDIOLOGY LTD (NPI# 1790972990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790972990 |
Entity Type | Organization |
Organization Name | CHANDRA DIAGNOSTIC CARDIOLOGY LTD |
Practice Address |
1 Ingalls Dr Harvey IL 60426-3558 |
Mailing Address |
4250 N Marine Dr Suite 236 Chicago IL 60613-1744 |
Practice Telephone | 7083332300 |
Mailing Telephone | 7734040160 |
Enumeration Date | 2007-10-02 |
Last Update Date | 2009-11-25 |
Authorized Official Name | LOKESH CHANDRA (PHYSICIAN OWNER) |
Authorized Official Telephone | 7737315456 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
036092076 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | BCBSIL GROUP # | 1632281 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336162783 | Chandra Diagnostic Cardiology Ltd | Internal Medicine | 10718 S Ewing Ave, Chicago, IL 60617-6605 | 2006-07-26 |
Street Address |
1 INGALLS DR |
City | HARVEY |
State | IL |
Zip Code | 60426-3558 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245239789 | Lisa M. Bibb | Pathology | 1 Ingalls Dr, Pathology Department, Harvey, IL 60426-3558 | 2005-07-18 |
1306453501 | Nicole Stephen | Pharmacist | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2020-09-30 |
1730704958 | Emily Limberg | Pharmacist | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2020-06-12 |
1215566781 | Willie C Harmon Sr. | Psychologist | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2020-04-06 |
1356988216 | La Vera Nelson | Nurse Practitioner | 1 Ingalls Dr, Harvey, IL 60426-3591 | 2019-12-10 |
1679037451 | Bernice Lynette Mclaurin | Pharmacist | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2019-01-26 |
1720579493 | Eugenia V Whalen-robinson | Social Worker | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2018-05-29 |
1972010718 | Lindsay Syring | Physician Assistant | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2018-01-02 |
1225549447 | Kimberly Wessendorf | Nurse Practitioner | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2017-10-15 |
1063921799 | Reda Kubilius | Nurse Practitioner | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2017-09-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295377471 | Carol E Gillett | Technician | 14607 Jefferson St., Harvey, IL 60426 | 2019-10-09 |
1356866479 | Zzm Investments Inc | Non-emergency Medical Transport (VAN) | 16429 Halsted St, Harvey, IL 60426 | 2017-08-09 |
1639628225 | Scottlab, Ltd. | Clinical Medical Laboratory | 71 W 156th St Ste 206a, Harvey, IL 60426 | 2016-09-24 |
1043608631 | Yvette M. Johnson | Nurse Practitioner | 31 W. 155th Street, Harvey, IL 60426 | 2015-01-05 |
1558665539 | Phillip T Robinson | Contractor | 16001 Marshfield St, Harvey, IL 60426 | 2011-01-05 |
1669657466 | South Shore Behavioral Consultants | Counselor | 369 East 147th Street Suite E, Harvey, IL 60426 | 2007-12-31 |
1770784670 | County of Cook Harvey Public School District 152 | Local Education Agency (LEA) | 152nd Myrtle St, Harvey, IL 60426 | 2007-05-29 |
1518180678 | Associated Medical Center Sc | Family Medicine | 15900 So Carol Avenue, Harvey, IL 60426 | 2007-04-10 |
1336269133 | Cook County | Clinic/Center | 650 E Phoenix Center Dr, Phoenix, IL 60426 | 2007-03-29 |
1932243433 | Michael T Jones Dmd Ltd | Dentist | 15335 Page Ave, Harvey, IL 60426 | 2007-02-16 |
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Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
---|---|---|---|---|
1023374451 | Ahmad Yousef Jabbar | Internal Medicine | 1901 Manhattan Blvd Ste 200, Harvey, LA 70058-3582 | 2012-04-10 |
1932259611 | Cardiac Consulting Group Sc | Internal Medicine | 71 W 156th St, Suite 305, Harvey, IL 60426-4260 | 2007-01-12 |
1336204031 | Andy C Lin | Internal Medicine | 71 W 156th St, Suite 305, Harvey, IL 60426-4260 | 2006-12-25 |
1265521587 | Sushil A Sheth | Internal Medicine | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2006-10-12 |
1780773051 | Sheth Sushil A Md Sc | Internal Medicine | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2006-10-12 |
1437137478 | Ponnambalam S Sundram | Internal Medicine | 71 W 156th St, Ste 305, Harvey, IL 60426-4260 | 2006-01-09 |
1518945989 | Advanced Heart Group Sc | Internal Medicine | 71 W 156th St, Suite 305, Harvey, IL 60426 | 2006-01-05 |
1700864550 | Francis Q Almeda | Internal Medicine | 71 W 156th St, Harvey, IL 60426 | 2006-01-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528596350 | Stat Cardiologist Inc | Internal Medicine | 2425 W 22nd St Ste 209, Oak Brook, IL 60523-4655 | 2017-05-24 |
1306296074 | Safwan Gaznabi | Internal Medicine | Northshore University Healthsystem, Office of Academic Affairs 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2016-06-14 |
1154796290 | Ray Jean Pensinger | Internal Medicine | 105 S. Fleming Rd., Woodstock, IL 60098-7903 | 2015-12-01 |
1073905311 | Cardio Medical Center Sc | Internal Medicine | 7746 West Madison Ave, Forrest Park, IL 60131 | 2015-02-24 |
1427457399 | Charles Joseph Frahm | Internal Medicine | 1200 E Madison Park, Chicago, IL 60615-2961 | 2014-08-17 |
1225447725 | Jeremy R. Estrada | Internal Medicine | 5841 S Maryland Ave # Mc5841, Chicago, IL 60637-1447 | 2014-08-08 |
1285049197 | Nidhi Madan | Internal Medicine | 1717 W Congress Pkwy Ste 317, Chicago, IL 60612 | 2014-06-30 |
1295159184 | Ca Group, LLC | Internal Medicine | 4017 Illinois Route 159, Suite 101, Smithton, IL 62285 | 2014-02-12 |
1457788424 | Chicago Vascular Clinic Ltd | Internal Medicine | 812 E Woodfield Rd, Schaumburg, IL 60173-4714 | 2013-10-04 |
1942634688 | Vein Md Consultants, LLC | Internal Medicine | 1865 N. Eltnor Blvd., West Chicago, IL 60185-5900 | 2013-08-29 |
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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.