HEART CARE CENTERS OF ILLINOIS, SC
NPI 1104238534
Physician Assistant in Palos Park, IL

Active since May 20, 2014
13011 S 104TH AVE, PALOS PARK, IL 60464(708) 478-3600 Get Directions Write a Review

NPPES record last updated: May 20, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Heart Care Centers Of Illinois, Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEART CARE CENTERS OF ILLINOIS, SC (NPI 1104238534) is a healthcare organization registered as a physician assistant in Palos Park, Illinois and active in the NPI registry since May 2014. The organization lists Phyllis Gedzun, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1104238534
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameHEART CARE CENTERS OF ILLINOIS, SC
Location Address13011 S 104TH AVEPalos Park, IL 60464-1506
Mailing Address13011 S 104th Ave, Suite 100Palos Park, IL 60464-1506
Organization SubpartNo
Authorized OfficialPhyllis GedzunPractice Manager · (708) 478-3600
Enumeration DateMay 20, 2014
NPI 1104238534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License 207R00000X (IL)
Also ListedSurgeryTaxonomy 208600000X
13011 S 104TH AVE, Palos Park, IL 60464

Other Identifiers 4

Other1508810086IL · Group Npi
Other236550Medicare Ptan
Other416810IL · Medicare Ptan
Other236551IL · Medicare Ptan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
13011 S 104TH AVE, SUITE # 209
PALOS PARK, IL 60464
Psychiatry & Neurology (Psychiatry)
13011 S 104TH AVE, SUITE 200
PALOS PARK, IL 60464
Clinic/Center (Physical Therapy)
13011 S 104TH AVE, SUITE 180
PALOS PARK, IL 60464
Chiropractor
13011 S 104TH AVE, 207
PALOS PARK, IL 60464
Psychologist (Clinical)
13011 S 104TH AVE, SUITE 200
PALOS PARK, IL 60464
Psychologist (Clinical)
13011 S 104TH AVE, SUITE 200
PALOS PARK, IL 60464
Psychologist
13011 S 104TH AVE, SUITE 200
PALOS PARK, IL 60464
Counselor (Professional)
13011 S 104TH AVE
PALOS PARK, IL 60464

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heart Care Centers Of Illinois, Sc's NPI number?

The NPI number for Heart Care Centers Of Illinois, Sc is 1104238534. It was assigned to this organization in the NPPES registry on May 20, 2014.

Where is Heart Care Centers Of Illinois, Sc located?

Heart Care Centers Of Illinois, Sc is located at 13011 S 104th Ave, Palos Park, IL 60464. The listed phone number is (708) 478-3600.

What is Heart Care Centers Of Illinois, Sc's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Heart Care Centers Of Illinois, Sc was last updated on May 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.