Healthcare Provider Details

I. General information

NPI: 1265132914
Provider Name (Legal Business Name): HEART RHYTHM DIAGNOSTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2023
Last Update Date: 04/13/2023
Certification Date: 04/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 REMINGTON BLVD STE G3
BOLINGBROOK IL
60440-3686
US

IV. Provider business mailing address

PO BOX 713218
CHICAGO IL
60677-1218
US

V. Phone/Fax

Practice location:
  • Phone: 217-331-2656
  • Fax:
Mailing address:
  • Phone: 217-331-2656
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number
License Number State

VIII. Authorized Official

Name: PATRICK BAILEY
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 217-331-2656