Healthcare Provider Details

I. General information

NPI: 1972793164
Provider Name (Legal Business Name): EP CONSULTATION LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2007
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1555 BARRINGTON RD. STE. 3350
HOFFMAN ESTATES IL
60169-1023
US

IV. Provider business mailing address

PO BOX 537
PARK RIDGE IL
60068-0537
US

V. Phone/Fax

Practice location:
  • Phone: 847-823-0843
  • Fax: 847-692-6755
Mailing address:
  • Phone: 847-823-0843
  • Fax: 847-823-0853

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number036103080
License Number StateIL

VIII. Authorized Official

Name: DR. MARC J OVADIA
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 773-612-4184