Organization
NORTHWEST CARDIOLOGY ASSOCIATES SC
Active
Organization
NORTHWEST CARDIOLOGY ASSOCIATES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL N FORTSAS MD (PRESIDENT)
(847) 382-4600
Entity
Organization
Contact information
Practice address
400 W NORTHWEST HWY, BARRINGTON, IL 60010-3049
(847) 382-4600
(847) 382-1771
Mailing address
PO BOX 3730, BARRINGTON, IL 60011-3730
(847) 382-4600
(847) 382-1771
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036090812
IL
207RI0011X
Interventional Cardiology Physician
036090812
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036090812
—
IL
01
—
4933204
BCBS PROV #
IL
Enumeration date
03/12/2009
Last updated
10/26/2015
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