Organization
MIDWEST CARDIAC CONSULTANTS, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RABINDRA NATH MALHOTRA MD (PRESIDENT)
(630) 852-0230
Entity
Organization
Contact information
Practice address
4121 FAIRVIEW AVE, SUITE 103, DOWNERS GROVE, IL 60515
(630) 852-0230
(630) 852-0244
Mailing address
4121 FAIRVIEW AVE, SUITE 103, DOWNERS GROVE, IL 60515-2264
(630) 852-0230
(630) 852-0244
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042006579
LICENSE # CORPORATION
IL
Enumeration date
07/13/2006
Last updated
12/20/2021
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