Healthcare Provider Details

I. General information

NPI: 1235687237
Provider Name (Legal Business Name): HEARTCOR SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2016
Last Update Date: 01/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2403 HARNISH DR SUITE 201
ALGONQUIN IL
60102-6803
US

IV. Provider business mailing address

2403 HARNISH DR SUITE 201
ALGONQUIN IL
60102-6803
US

V. Phone/Fax

Practice location:
  • Phone: 224-241-8254
  • Fax: 224-333-3334
Mailing address:
  • Phone: 224-241-8254
  • Fax: 224-333-3334

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. HAROLD A STRANDQUIST
Title or Position: PRESIDENT
Credential:
Phone: 224-241-8254