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NPI Code Detail

MEDICARE: CS CARDIOLOGY NEWCO LLC

MEDICARE: CS CARDIOLOGY NEWCO LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12086S0129XVascular Surgery Physician
2207RC0000XCardiovascular Disease Physician

General Provider Information

NPI Number : 1295547594
Entity Type Code : Organization
Provider Name (Legal Business Name) : CS CARDIOLOGY NEWCO LLC
Provider Business Mailing Address
First Line : PO BOX 88143
Second Line :
City : CHICAGO
State : IL
Zip : 60680-1143
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2312 N NEVADA AVE STE 235
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80907-5312
Country : US
Telephone Number : 719-776-7600
Fax Number :
Authorized Official
Title or Position : RCM CONTRACTS MANAGER
Name : MEGAN THOMAS
Credential :
Telephone Number : 224-285-6266
Provider Enumeration Date : 01/23/2025
Last Update Date : 01/27/2025

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Directions to “CS CARDIOLOGY NEWCO LLC ” Practice Location

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