MEDICARE: CARDIOLOGY ASSOCIATES OF NORTHERN ILLINOIS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207RC0001X	Clinical Cardiac Electrophysiology Physician
2	207RI0011X	Interventional Cardiology Physician
3	363LA2200X	Adult Health Nurse Practitioner
4	363LF0000X	Family Nurse Practitioner
5	207RC0000X	Cardiovascular Disease Physician

General Provider Information

NPI Number	:	1528017100
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARDIOLOGY ASSOCIATES OF NORTHERN ILLINOIS

Provider Business Mailing Address
First Line	:	301 MADISON ST
Second Line	:	SUITE 275
City	:	JOLIET
State	:	IL
Zip	:	60435-6549
Country	:	US
Telephone Number	:	815-740-1900
Fax Number	:	815-725-2413

Provider Business Practice Location Address
First Line	:	301 MADISON ST
Second Line	:	STE 207
City	:	JOLIET
State	:	IL
Zip	:	60435-6549
Country	:	US
Telephone Number	:	815-740-1900
Fax Number	:	815-725-2413

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ABDUL H SANKARI
Credential	:	M.D.
Telephone Number	:	815-740-1900

Provider Enumeration Date	:	05/09/2006
Last Update Date	:	09/22/2016

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