PREVENTIVE CARDIOVASCULAR SERVICES SC
NPI 1306914791
Internal Medicine - Cardiovascular Disease in Chicago, IL

Q: What is Preventive Cardiovascular Services Sc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Active since December 01, 2006

356 W SUPERIOR ST FL 2, CHICAGO, IL 60654(312) 932-0300 Get Directions Write a Review

NPPES record last updated: September 18, 2009. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Preventive Cardiovascular Services Sc NPPES

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

PREVENTIVE CARDIOVASCULAR SERVICES SC (NPI 1306914791) is a healthcare organization registered as a cardiovascular disease in Chicago, Illinois and active in the NPI registry since December 2006. The organization lists Alan Jackson, President, as its authorized official.

NPPES Registry Identity

NPI1306914791

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NamePREVENTIVE CARDIOVASCULAR SERVICES SC

Location Address356 W SUPERIOR ST FL 2Chicago, IL 60654-3416

Mailing AddressPo Box 187Tinley Park, IL 60477-0187 · (708) 479-6522 · Fax (708) 479-6597

Phone(312) 932-0300

Organization SubpartNo

Authorized OfficialAlan JacksonPresident · (708) 479-6522

Enumeration DateDecember 1, 2006

Last NPPES UpdateSeptember 18, 2009

✔ NPI 1306914791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in IL · 036081595

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

356 W SUPERIOR ST FL 2, Chicago, IL 60654

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Other Identifiers 3

Medicare UPINF81185IL

Medicare ID-Type Unspecified213504IL · Medicare Provider #

Medicaid036081595IL

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

TAMIKA BURRUSSI DN

Specialist

356 W SUPERIOR ST FL 2
CHICAGO, IL 60654

Cook County (312) 932-0300

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 Preventive Cardiovascular Services Sc's NPI number?

The NPI number for Preventive Cardiovascular Services Sc is 1306914791. It was assigned to this organization in the NPPES registry on December 1, 2006.

Where is Preventive Cardiovascular Services Sc located?

Preventive Cardiovascular Services Sc is located at 356 W Superior St Fl 2, Chicago, IL 60654. The listed phone number is (312) 932-0300.

What is Preventive Cardiovascular Services Sc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Preventive Cardiovascular Services Sc was last updated on September 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.