Organization
CLINICAL AND INTERVENTIONAL CARDIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EARL JOSE GILPIN CMA (CERTIFIED MEDICAL ASSISTANT)
(847) 676-1333
Entity
Organization
Contact information
Practice address
9669 KENTON AVE, SUITE 206, SKOKIE, IL 60076-1266
(847) 676-1333
(847) 676-1727
Mailing address
9669 KENTON AVE, SUITE 206, SKOKIE, IL 60076-1266
(847) 676-1333
(847) 676-1727
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1635694
BCBS
—
Enumeration date
10/03/2007
Last updated
07/21/2022
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