| Heart Care Centers Of South Chicago, Ltd | |
|
9011 S Commercial Ave Chicago IL 60617-4304 | |
| (773) 933-0700 | |
| Not Available |
| Full Name | Heart Care Centers Of South Chicago, Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 9011 S Commercial Ave, Chicago, Illinois |
| Authorized Official Name and Position | Virendra Bisla (PRESIDENT) |
| Authorized Official Contact | 7739330700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart Care Centers Of South Chicago, Ltd 833 W Lincoln Hwy Suite 200w Schererville IN 46375-1638 Ph: (219) 934-5300 | Heart Care Centers Of South Chicago, Ltd 9011 S Commercial Ave Chicago IL 60617-4304 Ph: (773) 933-0700 |
| NPI Number | 1295906147 |
|---|---|
| Provider Enumeration Date | 03/19/2008 |
| Last Update Date | 11/25/2019 |
| Medicare PECOS PAC ID | 5294808820 |
|---|---|
| Medicare Enrollment ID | O20080715000789 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295906147 | NPI | - | NPPES |
| 01639084 | Other | IL | BCBS |
| 200906430 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Virendra S Bisla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073682910 PECOS PAC ID: 1153322714 Enrollment ID: I20080715000778 |
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