Organization
CARDIOLOGY-INTERNAL MEDICINE CONSULTANTS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUBEN CHUQUIMIA MD (MD)
(708) 532-1104
Entity
Organization
Contact information
Practice address
1 INGALLS DR, CARDIOLOGY DEPT, HARVEY, IL 60426-3558
(708) 333-2300
Mailing address
PO BOX 700, MATTESON, IL 60443-0700
(708) 747-5850
(708) 747-9991
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036088831
IL
207RC0000X
Cardiovascular Disease Physician
Primary
036046105
IL
Other
Enumeration date
03/20/2008
Last updated
07/07/2009
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