Organization
ELITE CARDIOLOGY SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL H NGUYEN M.D. (PHYSICIAN/MANAGER)
(815) 758-7700
Entity
Organization
Contact information
Practice address
2550 HAUSER ROSS DRIVE, SUITE 325, SYCAMORE, IL 60178-3180
(815) 758-7700
(815) 748-3070
Mailing address
2550 HAUSER ROSS DRIVE, SUITE 325, SYCAMORE, IL 60178-3180
(815) 758-7700
(815) 748-3070
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036116210
IL
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036116210
—
IL
Enumeration date
01/22/2009
Last updated
11/08/2010
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