DOR HEART & VASCULAR, PC – NPI #1386818557
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.

DOR HEART & VASCULAR, PC is a provider located in GURNEE, IL. NPPES has assigned the NPI number 1386818557 to DOR HEART & VASCULAR, PC on April 17, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 15 years ago on Jul 05, 2011. 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 DOR HEART & VASCULAR, PC below.

NPI Profile for
DOR HEART & VASCULAR, PC

NPI Number
1386818557
Enumeration Date

(more than 18 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
DOR HEART & VASCULAR, PC
Primary location
20 TOWER CT
SUITE F
GURNEE, IL 60031-5711
Phone: (847) 662-9420 Fax: (847) 662-9457
Mailing address
PO BOX 2257
CHESTERTON, IN 46304-0357
Phone: (219) 926-8320 Fax: (219) 926-3524
Organization Subpart
No
Authorized Official
TRACY FREEZE
PRACTICE MANAGER
Phone: (219) 926-8320
Updated
Identifiers

Identifiers for DOR HEART & VASCULAR, PC

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
OTHERNPI TYPE 1IL1982718409
MEDICAIDIL036101942
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 036101942

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.