Organization
NORTH LAKE CARDIOVASCULAR CENTER PC
Active
Organization
NORTH LAKE CARDIOVASCULAR CENTER PC
Active
Other names
Northlake Cardiovascular Center P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMED S HASHIM M.D. (CEO)
(847) 360-1000
Entity
Organization
Contact information
Practice address
310 S GREENLEAF ST, SUITE 212, GURNEE, IL 60031-5708
(847) 360-1000
(847) 360-1001
Mailing address
310 S GREENLEAF ST, SUITE 212, GURNEE, IL 60031-5708
(847) 360-1000
(847) 360-1001
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036101448
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004933281
BCBS
IL
05
—
036101448
—
IL
Enumeration date
08/25/2009
Last updated
02/02/2026
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