Healthcare Provider Details

I. General information

NPI: 1811174394
Provider Name (Legal Business Name): CHICAGO HEART RHYTHM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2008
Last Update Date: 12/31/2021
Certification Date: 12/31/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 W DIVISION ST STE 330
CHICAGO IL
60622-2995
US

IV. Provider business mailing address

PO BOX 257610
CHICAGO IL
60625-8633
US

V. Phone/Fax

Practice location:
  • Phone: 773-728-0000
  • Fax: 773-728-0002
Mailing address:
  • Phone: 773-728-0000
  • Fax: 773-728-0002

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: DR. SAMER DIBS
Title or Position: MANAGER
Credential:
Phone: 773-728-0000