Provider Demographics
NPI:1811174394
Name:CHICAGO HEART RHYTHM LLC
Entity type:Organization
Organization Name:CHICAGO HEART RHYTHM LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMER
Authorized Official - Middle Name:
Authorized Official - Last Name:DIBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-728-0000
Mailing Address - Street 1:PO BOX 257610
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60625-8633
Mailing Address - Country:US
Mailing Address - Phone:773-728-0000
Mailing Address - Fax:773-728-0002
Practice Address - Street 1:2222 W DIVISION ST STE 330
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60622-2995
Practice Address - Country:US
Practice Address - Phone:773-728-0000
Practice Address - Fax:773-728-0002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-27
Last Update Date:2021-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac ElectrophysiologyGroup - Single Specialty