Healthcare Provider Details

I. General information

NPI: 1265108898
Provider Name (Legal Business Name): APEX CARDIOLOGY MDSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2021
Last Update Date: 10/20/2022
Certification Date: 10/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6980 FIELDSTONE DR
BURR RIDGE IL
60527-6969
US

IV. Provider business mailing address

6980 FIELDSTONE DR
BURR RIDGE IL
60527-6969
US

V. Phone/Fax

Practice location:
  • Phone: 708-439-2215
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: LOKESH CHANDRA
Title or Position: OWNER
Credential: MD
Phone: 708-439-2215