Organization
SOUTH SUBURBAN CARDIOLOGY ASSOCIATES, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHERDKIAT SANGKAM M.D. (PRESIDENT)
(708) 748-9952
Entity
Organization
Contact information
Practice address
20303 S CRAWFORD AVE, SUITE 120, OLYMPIA FIELDS, IL 60461-1176
(708) 481-5500
(708) 481-8381
Mailing address
3800 W 203RD ST, SUITE 201, OLYMPIA FIELDS, IL 60461-1184
(708) 748-9952
(708) 748-9924
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124399605
GROUP NPI
IL
Enumeration date
01/16/2012
Last updated
08/20/2013
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