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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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