Organization
CARDIOVASCULAR CARE ASSOCIATES S.C.
Active
Other names
Cardiovascular Care Associates S.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NARAYAN MULAMALLA MD (PRESIDENT)
(708) 283-1800
Entity
Organization
Contact information
Practice address
3800 203RD ST, SUITE 209, OLYMPIA FIELDS, IL 60461-1936
(708) 283-1800
(708) 283-8607
Mailing address
3800 203RD ST, SUITE 209, OLYMPIA FIELDS, IL 60461-1936
(708) 283-1800
(708) 283-8607
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200194920A
—
IN
01
—
H3947
RAILROD MEDICARE GROUP NU
IL
Enumeration date
08/30/2006
Last updated
04/25/2014
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