National Provider Identifier Database

HEART CARE CENTERS OF ILLINOIS SC
Cardiovascular Disease

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Contact Information

HEART CARE CENTERS OF ILLINOIS, SC
13011 S 104TH AVE
SUITE 100
PALOS PARK, IL  60464-1506
Phone: 708-274-3278
Fax: 708-274-3299
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X
Advanced Heart Failure & Transplant Cardiology 207RA0001X
Clinical Cardiac Electrophysiology 207RC0001X
Internal Medicine 207R00000X
Interventional Cardiology 207RI0011X

* Indicates primary specialty

NPI Profile & details for HEART CARE CENTERS OF ILLINOIS, SC

NPI Number 1508810086
Legal business name
LBN		 HEART CARE CENTERS OF ILLINOIS, SC
Authorized official MARK BERLIN - (COO)
Entity Organization
Organization subpart No
Enumeration date 05/20/2006
Last updated 12/19/2025 - About 6 months ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 042007998
  • IN Medicaid: 200261250
  • IL Other: 01621208 BLUECROSS BLUESHIELD
  • IL Other: CD8033 RAILROAD MEDI GR 236550
  • IL Other: CN2703 RAILROAD MEDI GRP 236551
  • IL Other: CG1672 RAILROAD MEDICARE 416810

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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