Organization
CARDIOLOGY AND VASCULAR SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOU V. IVANOVIC MD, FACC (MD./OWNER)
(708) 488-1010
Entity
Organization
Contact information
Practice address
7035 W. NORTH AVE, OAK PARK, IL 60302
(708) 488-1010
(708) 488-1420
Mailing address
7035 W. NORTH AVE, OAK PARK, IL 60302
(708) 488-1010
(708) 488-1420
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
IL
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36073485
—
IL
05
—
362985685
—
IL
Enumeration date
09/20/2006
Last updated
04/05/2012
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