Organization
MIDWEST HEART SPECIALISTS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH C MAREK MD (EXECUTIVE VICE PRESIDENT)
(630) 719-4799
Entity
Organization
Contact information
Practice address
3825 HIGHLAND AVE, SUITE 400, DOWNERS GROVE, IL 60515-1552
(630) 719-4999
Mailing address
1919 S HIGHLAND AVE, SUITE B202, LOMBARD, IL 60148-6153
(630) 268-1102
(630) 268-1125
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02215038
BCBS
IL
Enumeration date
05/12/2006
Last updated
08/02/2007
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