Provider Demographics
NPI:1538488069
Name:CARDIOLOGY GROUP LLC
Entity Type:Organization
Organization Name:CARDIOLOGY GROUP LLC
Other - Org Name:THE CARDIOLOGY GROUP LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:QUINN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-425-7272
Mailing Address - Street 1:2850 W 95TH ST
Mailing Address - Street 2:SUITE 305
Mailing Address - City:EVERGREEN PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60805-2735
Mailing Address - Country:US
Mailing Address - Phone:708-425-7272
Mailing Address - Fax:708-422-6272
Practice Address - Street 1:2850 W 95TH ST
Practice Address - Street 2:SUITE 305
Practice Address - City:EVERGREEN PARK
Practice Address - State:IL
Practice Address - Zip Code:60805-2735
Practice Address - Country:US
Practice Address - Phone:708-425-7272
Practice Address - Fax:708-422-6272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-24
Last Update Date:2010-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty