MEDICARE: ADVANCED PREVENTATIVE CARDIOLOGY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician

General Provider Information

NPI Number	:	1356629604
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED PREVENTATIVE CARDIOLOGY INC

Provider Business Mailing Address
First Line	:	117 S COOK ST # 180
Second Line	:
City	:	BARRINGTON
State	:	IL
Zip	:	60010-4311
Country	:	US
Telephone Number	:	847-654-1281
Fax Number	:	847-890-7991

Provider Business Practice Location Address
First Line	:	650 SPRING HILL RING ROAD
Second Line	:	STE 2000
City	:	WEST DUNDEE
State	:	IL
Zip	:	60118-1297
Country	:	US
Telephone Number	:	847-654-1281
Fax Number	:	888-396-4184

Authorized Official
Title or Position	:	OWNER
Name	:	AGNIESZKA J SILBERT
Credential	:	MD
Telephone Number	:	847-654-1281

Provider Enumeration Date	:	08/03/2011
Last Update Date	:	11/16/2012

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