Organization
WEST SUBURBAN CARDIOLOGISTS, LTD.
Active
Other names
Heart and Vascular of Illinois
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AJAY BADDI M.D. (PHYSICIAN)
(773) 880-9722
Entity
Organization
Contact information
Practice address
3118 N ASHLAND AVE, CHICAGO, IL 60657-3014
(773) 880-9722
(773) 880-9723
Mailing address
900 S FRONTAGE RD, SUITE 325, WOODRIDGE, IL 60517-4903
(773) 880-9722
(773) 880-9723
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
060000983
IL
207RC0001X
Clinical Cardiac Electrophysiology Physician
060000983
IL
363L00000X
Nurse Practitioner
06000983
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1616378
BCBS
IL
Enumeration date
05/13/2006
Last updated
12/21/2010
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