Provider Demographics
NPI:1760489041
Name:HEART RHYTHM SPECIALISTS, S.C.
Entity Type:Organization
Organization Name:HEART RHYTHM SPECIALISTS, S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:D
Authorized Official - Last Name:ENGELSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-326-2244
Mailing Address - Street 1:7447 W TALCOTT AVE
Mailing Address - Street 2:SUITE 358
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60631-3745
Mailing Address - Country:US
Mailing Address - Phone:773-326-2244
Mailing Address - Fax:773-326-2253
Practice Address - Street 1:7447 W TALCOTT AVE
Practice Address - Street 2:SUITE 358
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60631-3745
Practice Address - Country:US
Practice Address - Phone:773-326-2244
Practice Address - Fax:773-326-2253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-01
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL999999999207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac ElectrophysiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL210591Medicare ID - Type UnspecifiedGROUP NUMBER