Provider Demographics
NPI:1649386400
Name:EDWARD CARDIOVASCULAR INSTITUTE
Entity Type:Organization
Organization Name:EDWARD CARDIOVASCULAR INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT EDWARD CARDIOVASCULAR INS
Authorized Official - Prefix:DR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:I
Authorized Official - Last Name:BUFALINO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-527-2730
Mailing Address - Street 1:801 SOUTH WASHINGTON
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540
Mailing Address - Country:US
Mailing Address - Phone:630-527-2896
Mailing Address - Fax:630-548-7608
Practice Address - Street 1:801 SOUTH WASHINGTON
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540
Practice Address - Country:US
Practice Address - Phone:630-527-2896
Practice Address - Fax:630-548-7608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-22
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL325210Medicare PIN