Organization
CONSULTANTS IN CARDIOVASCULAR MEDICINE, S. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY G. SHANES M.D. (PRESIDENT)
(708) 838-1448
Entity
Organization
Contact information
Practice address
675 W NORTH AVENUE, SUITE-210, MELROSE PARK, IL 60160-1634
(708) 838-1448
(708) 344-0508
Mailing address
675 W NORTH AVENUE, SUITE-210, MELROSE PARK, IL 60160-1634
(708) 838-1448
(708) 344-0508
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
36-064782
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-064782
—
IL
05
—
036-104771
—
IL
01
—
216577
MEDICARE LOCALITY 015 GROUP PTAN NUMBER
IL
01
—
31602469
BCBS
IL
05
—
478-94-8068001
—
IL
05
—
479-70-6233001
—
IL
01
—
961280
MEDICARE
IL
01
—
CC1592
MEDICARE RAILROAD
IL
Enumeration date
08/25/2006
Last updated
07/09/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us