Provider Demographics
NPI:1477782845
Name:HEARTCARE MIDWEST
Entity Type:Organization
Organization Name:HEARTCARE MIDWEST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERVENTIONAL CARDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAWEED
Authorized Official - Middle Name:
Authorized Official - Last Name:SAYEED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-301-9765
Mailing Address - Street 1:PO BOX 9382
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61612-9382
Mailing Address - Country:US
Mailing Address - Phone:309-691-4410
Mailing Address - Fax:
Practice Address - Street 1:1505 EASTLAND DRIVE
Practice Address - Street 2:SUITE 330
Practice Address - City:BLOOMINGTON
Practice Address - State:IL
Practice Address - Zip Code:61701
Practice Address - Country:US
Practice Address - Phone:309-663-9800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-07
Last Update Date:2009-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036081865282NR1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NR1301XHospitalsGeneral Acute Care HospitalRural