Organization
CARDIOLOGY-INTERNAL MEDICINE CONSULTANTS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUBEN CHUQUIMIA M.D. (PRESIDENT)
(708) 532-1104
Entity
Organization
Contact information
Practice address
16532 S OAK PARK AVE, SUITE 200, TINLEY PARK, IL 60477-2273
(708) 532-1104
(708) 532-5539
Mailing address
16532 S OAK PARK AVE, SUITE 200, TINLEY PARK, IL 60477-2273
(708) 532-1104
(708) 532-5539
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036088831
IL
207RC0000X
Cardiovascular Disease Physician
036046105
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01633130
BLUE SHIELD OF ILLINOIS
IL
01
—
CK6656
RAILROAD MEDICARE
IL
Enumeration date
07/25/2006
Last updated
11/17/2008
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