Organization
ADVANCED HEART LIPID CLINIC
Active
Other names
Advanced heart and healthcare center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ENAS A. ENAS M.D. (PRESIDENT)
(630) 960-1844
Entity
Organization
Contact information
Practice address
4121 FAIRVIEW AVE, SUITE 103, DOWNERS GROVE, IL 60515-2264
(630) 960-1844
(630) 852-0244
Mailing address
4121 FAIRVIEW AVE, SUITE 103, DOWNERS GROVE, IL 60515-2264
(630) 960-1844
(630) 852-0244
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042003489
CORPORATION LICENSE
IL
Enumeration date
07/13/2006
Last updated
01/03/2022
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