Healthcare Provider Details

I. General information

NPI: 1760489041
Provider Name (Legal Business Name): HEART RHYTHM SPECIALISTS, S.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2005
Last Update Date: 02/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7447 W TALCOTT AVE SUITE 358
CHICAGO IL
60631-3745
US

IV. Provider business mailing address

7447 W TALCOTT AVE SUITE 358
CHICAGO IL
60631-3745
US

V. Phone/Fax

Practice location:
  • Phone: 773-326-2244
  • Fax: 773-326-2253
Mailing address:
  • Phone: 773-326-2244
  • Fax: 773-326-2253

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number999999999
License Number StateIL

VIII. Authorized Official

Name: ERICA D ENGELSTEIN
Title or Position: OWNER
Credential: M.D.
Phone: 773-326-2244