Wicker Park Heart Specialists, Llc

LBN: Wicker Park Heart Specialists, Llc
Wicker Park Heart Specialists, Llc is an health care organization with primary practice located at 2222 W Division St Suite 300, Chicago IL 60622-2717. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Wicker Park Heart Specialists, Llc can be contacted via phone (773) 292-9791, or through Deano, Danilo Angeles via phone (773) 292-9791.

Contact Information

Primary practice address
2222 W Division St Suite 300 Chicago IL 60622-2717
Phone: (773) 292-9791
Fax: (773) 292-9792
Website:
Map and Directions
Authorized official contact:
Name: Deano, Danilo Angeles Doctor of Medicine (MD)
Phone: (773) 292-9791

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X

Profile Details

NPI number 1376649319
LBN Legal business name Wicker Park Heart Specialists, Llc
DBA Doing business as
Authorized official Deano, Danilo Angeles Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 16th, 2006
Last updated Feb 7th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376649319 NPPES
Illinois Other 1630322 BCBS IL
Illinois Other CJ3188 BCBS IL

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