Organization
HEART CARE CENTERS OF ILLINOIS, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK F BERLIN (COO)
(708) 478-3600
Entity
Organization
Contact information
Practice address
13011 S 104TH AVE, SUITE 100, PALOS PARK, IL 60464-1506
(708) 274-3278
(708) 274-3299
Mailing address
13011 S 104TH AVE, SUITE 100, PALOS PARK, IL 60464-1506
(708) 478-3600
(708) 478-3552
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
042007998
IL
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
042007998
IL
207RC0001X
Clinical Cardiac Electrophysiology Physician
042007998
IL
207RI0011X
Interventional Cardiology Physician
042007998
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621208
BLUECROSS BLUESHIELD
IL
05
—
200261250
—
IN
01
—
CD8033
RAILROAD MEDI GR 236550
IL
01
—
CG1672
RAILROAD MEDICARE 416810
IL
01
—
CN2703
RAILROAD MEDI GRP 236551
IL
Enumeration date
05/20/2006
Last updated
12/19/2025
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