CHANDRA DIAGNOSTIC CARDIOLOGY LTD – NPI #1336162783
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CHANDRA DIAGNOSTIC CARDIOLOGY LTD is a provider located in HAZEL CREST, IL. NPPES has assigned the NPI number 1336162783 to CHANDRA DIAGNOSTIC CARDIOLOGY LTD on July 26, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 3 years ago on May 01, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHANDRA DIAGNOSTIC CARDIOLOGY LTD below.

NPI Profile for
CHANDRA DIAGNOSTIC CARDIOLOGY LTD

NPI Number
1336162783
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHANDRA DIAGNOSTIC CARDIOLOGY LTD
Primary location
3330 W 177TH ST STE 3E
HAZEL CREST, IL 60429-2196
Phone: (708) 798-4500 Fax: (708) 798-4586
2 Other location(s):
10718 S Ewing Ave
Chicago, IL 60617-6605
Phone: (773) 731-5456
Fax: (773) 731-6475
611 W Roosevelt Rd
Chicago, IL 60607-4911
Phone: (773) 731-5456
Fax: (773) 731-6475
Mailing address
10718 S EWING AVE
CHICAGO, IL 60617-6605
Phone: (773) 731-5456 Fax:
Organization Subpart
No
Authorized Official
AZAZUDDIN AHMED
OWNER
Phone: (630) 915-9231
Updated
Certification Date
May 01, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CHANDRA DIAGNOSTIC CARDIOLOGY LTD

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherMEDICARE RAILROADILCJ8102
medicaidIL036092076
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
IL 036092076

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

View All Endpoint(s)
Endpoint
http://Epic.aurora.org/myaurora?OU?DGUE?DARU2
Endpoint type
FHIR URL
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
10718 S EWING AVE,
CHICAGO, IL 77025-1669

Endpoint
http://Epic.aurora.org/myaurora?OU?DGUE?DARU2
Endpoint type
FHIR URL
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
3330 W 177TH ST STE 3E,
HAZEL CREST, IL 77025-1669