Organization
MIDAMERICA CARDIOVASCULAR CONSULTANTS, LTD
Active
Organization
MIDAMERICA CARDIOVASCULAR CONSULTANTS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUGO F CUADROS M.D. (CO-PRESIDENT)
(708) 636-7575
Entity
Organization
Contact information
Practice address
10837 S CICERO AVE, SUITE 200, OAK LAWN, IL 60453-6458
(708) 636-7575
(708) 636-6193
Mailing address
5009 W 95TH ST, OAK LAWN, IL 60453-2401
(708) 636-7575
(708) 636-7193
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
IL
207RC0000X
Cardiovascular Disease Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14D0961010
CLIA #
IL
01
—
21622931
BCBS GROUP PROVIDER #
IL
01
—
CI8250
MEDICARE RR, PALMETTO GBA
IL
Enumeration date
09/20/2006
Last updated
07/21/2022
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