Provider Demographics
NPI:1508810086
Name:HEART CARE CENTERS OF ILLINOIS, S.C.
Entity Type:Organization
Organization Name:HEART CARE CENTERS OF ILLINOIS, S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:J
Authorized Official - Last Name:ARROTTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-478-3600
Mailing Address - Street 1:13011 S 104TH AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PALOS PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60464-1506
Mailing Address - Country:US
Mailing Address - Phone:708-478-3600
Mailing Address - Fax:708-478-3552
Practice Address - Street 1:13011 S 104TH AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:PALOS PARK
Practice Address - State:IL
Practice Address - Zip Code:60464-1506
Practice Address - Country:US
Practice Address - Phone:708-274-3278
Practice Address - Fax:708-274-3299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2016-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL042007998207R00000X, 207RC0000X, 207RC0001X, 207RI0011X, 208600000X, 208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac ElectrophysiologyGroup - Multi-Specialty
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Multi-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
No208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILCD8033OtherRAILROAD MEDI GR 236550
ILCG1672OtherRAILROAD MEDICARE 416810
IL01621208OtherBLUECROSS BLUESHIELD
IN200261250Medicaid
ILCN2703OtherRAILROAD MEDI GRP 236551
IL01621208OtherBLUECROSS BLUESHIELD
IL236550Medicare ID - Type UnspecifiedLOCALITY 16
ILCN2703OtherRAILROAD MEDI GRP 236551
IN200261250Medicaid