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Organization

CARDIOVASCULAR ASSOCIATES, S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACK R CHAMBERLIN M.D. (PRESIDENT)
(847) 981-3680
Entity
Organization

Contact information

Practice address
800 BIESTERFIELD RD STE G01, WIMMER BUILDING, ELK GROVE VILLAGE, IL 60007-3372
(847) 981-3680
(847) 956-5122
Mailing address
900 S FRONTAGE RD, SUITE 325, WOODRIDGE, IL 60517-4903
(847) 981-3680

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
42007401
IL
207RC0001X
Clinical Cardiac Electrophysiology Physician
42007401
IL
363L00000X
Nurse Practitioner
42007401
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0503174
CIGNA
IL
01
1146003
UNITED HEALTHCARE
IL
01
1619483
BCBS
IL
01
343940
LOCALITY 16
IL
01
4478598
AETNA
IL
Enumeration date
05/15/2006
Last updated
02/05/2010
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