JACK R. CHAMBERLIN M.D. – NPI #1215980321
Internal Medicine

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Health Care Provider Taxonomy Code for Internal Medicine

JACK CHAMBERLIN is a physician located in ELK GROVE VILLAGE, IL. NPPES has assigned the NPI number 1215980321 to JACK CHAMBERLIN on May 18, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RI0011X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Interventional Cardiology

The NPI profile was previously updated about 11 years ago on Apr 10, 2015. 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 JACK CHAMBERLIN below.

NPI Profile for
JACK R. CHAMBERLIN

NPI Number
1215980321
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JACK R. CHAMBERLIN
Credentials
M.D.
Primary location
800 BIESTERFIELD RD STE G01
WIMMER BUILDING
ELK GROVE VILLAGE, IL 60007-3372
Phone: (847) 981-3680 Fax: (847) 956-5122
Mailing address
900 S FRONTAGE RD
SUITE 325
WOODRIDGE, IL 60517-4903
Phone: (847) 981-3680 Fax: (847) 956-5122
Sole Proprietor
No
Updated
Identifiers

Identifiers for JACK CHAMBERLIN

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 PTAN LOC 15ILIL6305015
OTHERMEDICARE PTAN LOC 16ILIL6304015
OTHERNPI GROUP PRACTICEIL1720371669
OTHERRRMC PTANILP01008734
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
207RI0011X
- Internal Medicine / Interventional Cardiology (Primary)		 IL 036-086925
207RC0000X
- Internal Medicine / Cardiovascular Disease		 IL 036086925

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.

Additional Information

Education
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE - Graduated 1991
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JACK CHAMBERLIN is affiliated with the following medical group(s):
  • HOSPITAL
    • ADVENTIST GLENOAKS
      701 WINTHROP AVENUE
      GLENDALE HEIGHTS, IL 60139
    • ADVOCATE GOOD SHEPHERD HOSPITAL
      450 WEST HIGHWAY 22
      BARRINGTON, IL 60010
    • ADVOCATE SHERMAN HOSPITAL
      1425 NORTH RANDALL ROAD
      ELGIN, IL 60123
    • ALEXIAN BROTHERS MEDICAL CENTER 1
      800 W BIESTERFIELD RD
      ELK GROVE VILLAGE, IL 60007
    • ST ALEXIUS MEDICAL CENTER
      1555 N BARRINGTON RD
      HOFFMAN ESTATES, IL 60169

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