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Contact Information

ILLIANA CARDIOVASCULAR CONSULTANTS, LLC
2150 GETTLER ST STE 455
DYER, IN46311
 Phone: 219-864-1100
 Fax: 219-864-1118
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ILLIANA CARDIOVASCULAR CONSULTANTS, LLC

NPI # 1457438848
LBN Legal business name ILLIANA CARDIOVASCULAR CONSULTANTS, LLC
Authorized official JAGDISH PATEL - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/01/2006
Last updated 07/18/2018 - About 8 years ago
Identifiers
IL License # 036056772
IN License # 01029938
IN Medicaid 100322640
Other 062002709503950 TRAVELERS RR MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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