Organization
PROFESSIONAL SERVICES IN CARDIOLOGY PHYSICIANS BILLING GROUP, INC.
Active
Organization
PROFESSIONAL SERVICES IN CARDIOLOGY PHYSICIANS BILLING GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY CHANOUX (MANAGER)
(773) 975-1600
Entity
Organization
Contact information
Practice address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(773) 975-1600
Mailing address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(773) 975-1600
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA8287
PALMETTO GBA
IL
Enumeration date
08/14/2006
Last updated
08/04/2008
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