Provider Demographics
NPI:1356106108
Name:CARDIOLOGY CLINICS OF AMERICA, LLC
Entity type:Organization
Organization Name:CARDIOLOGY CLINICS OF AMERICA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:YASER
Authorized Official - Middle Name:
Authorized Official - Last Name:SIRAJ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-964-8199
Mailing Address - Street 1:125 OLD DUNDEE RD
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-5117
Mailing Address - Country:US
Mailing Address - Phone:815-985-2087
Mailing Address - Fax:703-649-6188
Practice Address - Street 1:759 KANE ST
Practice Address - Street 2:
Practice Address - City:SOUTH ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60177-1418
Practice Address - Country:US
Practice Address - Phone:847-697-3310
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-20
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty