Healthcare Provider Details

I. General information

NPI: 1972034338
Provider Name (Legal Business Name): HEART TEAM ,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2017
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1530 N RANDALL RD STE 222
ELGIN IL
60123-7879
US

IV. Provider business mailing address

1530 N RANDALL RD STE 222
ELGIN IL
60123-7879
US

V. Phone/Fax

Practice location:
  • Phone: 224-535-6400
  • Fax:
Mailing address:
  • Phone: 224-535-6400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number036112189
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number036112189
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number036112189
License Number StateIL
# 4
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number036112189
License Number StateIL
# 5
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number036112189
License Number StateIL
# 6
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MUHAMMAD ASAD ALI
Title or Position: MD
Credential: MD
Phone: 224-535-6400