Provider Demographics
NPI:1134329733
Name:AMBULATORY ECG SERVICES LTD
Entity Type:Organization
Organization Name:AMBULATORY ECG SERVICES LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:IGOR
Authorized Official - Middle Name:
Authorized Official - Last Name:YAVNOSHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-217-0957
Mailing Address - Street 1:1056 DRIFTWOOD CT APT B2
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:IL
Mailing Address - Zip Code:60090-2553
Mailing Address - Country:US
Mailing Address - Phone:847-217-0957
Mailing Address - Fax:847-947-7739
Practice Address - Street 1:1056 DRIFTWOOD CT APT B2
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:IL
Practice Address - Zip Code:60090-2553
Practice Address - Country:US
Practice Address - Phone:847-217-0957
Practice Address - Fax:847-947-7739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-20
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246W00000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, CardiologyGroup - Multi-Specialty