| Heart Care Centers Of Illinois, Sc | |
|
13011 S 104th Ave Suite 100 Palos Park IL 60464-1506 | |
| (708) 274-3278 | |
| (708) 274-3299 |
| Full Name | Heart Care Centers Of Illinois, Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 13011 S 104th Ave, Palos Park, Illinois |
| Authorized Official Name and Position | Mark F Berlin (COO) |
| Authorized Official Contact | 7084783600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart Care Centers Of Illinois, Sc 13011 S 104th Ave Suite 100 Palos Park IL 60464-1506 Ph: (708) 478-3600 | Heart Care Centers Of Illinois, Sc 13011 S 104th Ave Suite 100 Palos Park IL 60464-1506 Ph: (708) 274-3278 |
| NPI Number | 1508810086 |
|---|---|
| Provider Enumeration Date | 05/20/2006 |
| Last Update Date | 12/19/2025 |
| Medicare PECOS PAC ID | 6103738810 |
|---|---|
| Medicare Enrollment ID | O20031103000069 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508810086 | NPI | - | NPPES |
| CD8033 | Other | IL | RAILROAD MEDI GR 236550 |
| CG1672 | Other | IL | RAILROAD MEDICARE 416810 |
| 01621208 | Other | IL | BLUECROSS BLUESHIELD |
| 200261250 | Medicaid | IN | |
| CN2703 | Other | IL | RAILROAD MEDI GRP 236551 |
| Provider Name | Sean P Tierney |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1457315624 PECOS PAC ID: 3577558147 Enrollment ID: I20040415000135 |
| Provider Name | Robert A Iaffaldano |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1043274145 PECOS PAC ID: 7911809413 Enrollment ID: I20040429000876 |
| Provider Name | Kishin Ramani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932163045 PECOS PAC ID: 0749182244 Enrollment ID: I20040429001056 |
| Provider Name | Charles A Kinder |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1346204518 PECOS PAC ID: 7911994926 Enrollment ID: I20040429001153 |
| Provider Name | Hang Jin H Shin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689638702 PECOS PAC ID: 4385546886 Enrollment ID: I20040501000044 |
| Provider Name | Ronald E Stella |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1821052093 PECOS PAC ID: 9931001435 Enrollment ID: I20040501000089 |
| Provider Name | Kurt W Erickson |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1033173125 PECOS PAC ID: 2466364013 Enrollment ID: I20040501000104 |
| Provider Name | Dominick J Stella |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1932163623 PECOS PAC ID: 6103814066 Enrollment ID: I20040501000124 |
| Provider Name | Joseph Frank Stella |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1104880376 PECOS PAC ID: 9638167596 Enrollment ID: I20040501000142 |
| Provider Name | Stavros G Maragos |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508820184 PECOS PAC ID: 1951399823 Enrollment ID: I20040501000189 |
| Provider Name | Peter W Kakavas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528022191 PECOS PAC ID: 4284536780 Enrollment ID: I20040501000259 |
| Provider Name | Thomas E Bump |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1013941053 PECOS PAC ID: 2567447501 Enrollment ID: I20040623000184 |
| Provider Name | John H Burke |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1043238306 PECOS PAC ID: 3870578818 Enrollment ID: I20040623000292 |
| Provider Name | David A Cusick |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093779647 PECOS PAC ID: 0648172148 Enrollment ID: I20040721001475 |
| Provider Name | Robert C Lichtenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013972850 PECOS PAC ID: 1951370832 Enrollment ID: I20040928000452 |
| Provider Name | Thomas T Kason |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932163037 PECOS PAC ID: 2062441355 Enrollment ID: I20050808000180 |
| Provider Name | George F Aziz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639133358 PECOS PAC ID: 1355232497 Enrollment ID: I20050808000207 |
| Provider Name | Christopher D Bane |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1467416578 PECOS PAC ID: 9537170931 Enrollment ID: I20060524000131 |
| Provider Name | Elizabeth Colaiuta |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1558338723 PECOS PAC ID: 8527031095 Enrollment ID: I20070613000146 |
| Provider Name | Robert M Gasior |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1942286984 PECOS PAC ID: 9032003405 Enrollment ID: I20070829000510 |
| Provider Name | Noel Camba |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1083668560 PECOS PAC ID: 1052481231 Enrollment ID: I20080530000070 |
| Provider Name | William H Spear |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1811085889 PECOS PAC ID: 4688748767 Enrollment ID: I20080807000328 |
| Provider Name | James P Sur |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1447450788 PECOS PAC ID: 4688724909 Enrollment ID: I20090609000046 |
| Provider Name | Ravi K Ramana |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1679778716 PECOS PAC ID: 2961552138 Enrollment ID: I20090609000544 |
| Provider Name | Ameet H Parikh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942461462 PECOS PAC ID: 7810047685 Enrollment ID: I20090617000121 |
| Provider Name | Robert C Prentice |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194789354 PECOS PAC ID: 7810809464 Enrollment ID: I20090730000349 |
| Provider Name | John J Arrotti |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790749455 PECOS PAC ID: 4284546839 Enrollment ID: I20090731000484 |
| Provider Name | Roy C Bliley |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1225092992 PECOS PAC ID: 8426960071 Enrollment ID: I20090821000173 |
| Provider Name | Gregory P Macaluso |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1831355585 PECOS PAC ID: 4587832621 Enrollment ID: I20110715000646 |
| Provider Name | Michael Flisak |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1548426943 PECOS PAC ID: 1153596705 Enrollment ID: I20120709000508 |
| Provider Name | Karen A Meehan |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1972837037 PECOS PAC ID: 9830341080 Enrollment ID: I20121214000233 |
| Provider Name | Erik Wissner |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1508849340 PECOS PAC ID: 3072504034 Enrollment ID: I20150918000281 |
| Provider Name | Jennifer Melcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437692597 PECOS PAC ID: 3678852134 Enrollment ID: I20161128001582 |
| Provider Name | Irina S Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679017529 PECOS PAC ID: 0042594186 Enrollment ID: I20170308002783 |
| Provider Name | Naveed S Iqbal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1346458189 PECOS PAC ID: 2769539220 Enrollment ID: I20180620000026 |
| Provider Name | Hong Jun Yun |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396065884 PECOS PAC ID: 3870733892 Enrollment ID: I20180702002790 |
| Provider Name | Michael J Porter |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1225074511 PECOS PAC ID: 9436152287 Enrollment ID: I20180809005978 |
| Provider Name | Courtney L Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942844212 PECOS PAC ID: 8426481409 Enrollment ID: I20191205000266 |
| Provider Name | Nikole Adamczyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508533290 PECOS PAC ID: 3678965605 Enrollment ID: I20220124002560 |
| Provider Name | Reema A Sheth |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1265824551 PECOS PAC ID: 5890176366 Enrollment ID: I20220714001466 |
| Provider Name | Michelle L Dalton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225736499 PECOS PAC ID: 0840665246 Enrollment ID: I20230418000967 |
| Provider Name | Amit Vira |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1740676600 PECOS PAC ID: 8729307350 Enrollment ID: I20230605001700 |
| Provider Name | Jessica M Kwak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619661063 PECOS PAC ID: 1658731120 Enrollment ID: I20230714003220 |
| Provider Name | Danielle P Poulos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447995352 PECOS PAC ID: 5496118606 Enrollment ID: I20230905003052 |
| Provider Name | Sara E Perisin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427865492 PECOS PAC ID: 7214465327 Enrollment ID: I20250116001386 |
B M Khan Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13011 S 104th Ave Ste 203, Palos Park, IL 60464 Phone: 703-964-8199 Fax: 703-649-6188 | |
Corazon R Benig Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10405 W 134th St, Palos Park, IL 60464 Phone: 708-609-8621 | |
Medgenius Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 Forest Edge Dr, Palos Park, IL 60464 Phone: 312-505-3000 |