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NORTH LAKE CARDIOVASCULAR CENTER PC
NPI 1457584450
Internal Medicine - Cardiovascular Disease in Gurnee, IL

Active since August 25, 2009
310 S GREENLEAF ST, SUITE 212, GURNEE, IL 60031(847) 360-1000(847) 360-1001 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About North Lake Cardiovascular Center Pc NPPES

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

NORTH LAKE CARDIOVASCULAR CENTER PC (NPI 1457584450) is a healthcare organization registered as a cardiovascular disease in Gurnee, Illinois and active in the NPI registry since August 2009. The organization maintains a secondary practice location in Libertyville and lists Ahmed S Hashim, Ceo, as its authorized official.

NPPES Registry Identity

NPI1457584450
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameNORTH LAKE CARDIOVASCULAR CENTER PC
Location Address310 S GREENLEAF ST, SUITE 212Gurnee, IL 60031-5708
Mailing Address310 S Greenleaf St, Suite 212Gurnee, IL 60031-5708 · (847) 360-1000 · Fax (847) 360-1001
Phone(847) 360-1000
Fax(847) 360-1001
Organization SubpartNo
Authorized OfficialAhmed S HashimCeo · (847) 360-1000
Enumeration DateAugust 25, 2009
Last NPPES UpdateFebruary 2, 2026
NPPES CertifiedFebruary 2, 2026
✔ NPI 1457584450 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 · 036101448
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.
310 S GREENLEAF ST, Gurnee, IL 60031
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Other Names 1

Other NameNorthlake Cardiovascular Center P.c.

Secondary Practice Location 1

Location 11795 N Butterfield Rd Ste 102Libertyville, IL 60048-1212 · Phone (847) 360-1000 · Fax (847) 360-1001

Other Identifiers 2

Other0004933281IL · Bcbs
Medicaid036101448IL

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

North Lake Cardiovascular Center Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to North Lake Cardiovascular Center PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Ahmed Hashim, MD
Cardiovascular Disease (Cardiology)
NPI 1841258266
310 S GREENLEAF ST SUITE 212
Gurnee, IL 60031
(847) 360-1000
✔ PECOS✔ Accepts MedicareSame address
Angela Anton, APRN
Nurse Practitioner
NPI 1417522780
310 S GREENLEAF ST STE 212
Gurnee, IL 60031
(847) 360-1000
✔ PECOS✔ Accepts Medicare0.5 mi
Ronald Lee
Nurse Practitioner
NPI 1538935507
310 S GREENLEAF ST STE 212
Gurnee, IL 60031
(847) 360-1000
✔ PECOS✔ Accepts Medicare0.5 mi
Rochie Estrella, APN, CCRN, FNP-BC
Nurse Practitioner
NPI 1922557370
1795 N BUTTERFIELD RD STE 102
Libertyville, IL 60048
(847) 360-1000
✔ PECOS✔ Accepts Medicare5.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 North Lake Cardiovascular Center PC's NPI number?

The NPI number for North Lake Cardiovascular Center PC is 1457584450. It was assigned to this organization in the NPPES registry on August 25, 2009. The provider is also known as Northlake Cardiovascular Center P.C..

Where is North Lake Cardiovascular Center PC located?

North Lake Cardiovascular Center PC is located at 310 S Greenleaf St Suite 212, Gurnee, IL 60031. The listed phone number is (847) 360-1000.

What is North Lake Cardiovascular Center PC's specialty?

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

Is North Lake Cardiovascular Center PC enrolled in Medicare?

Yes. North Lake Cardiovascular Center PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through North Lake Cardiovascular Center PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to North Lake Cardiovascular Center PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3) and Cardiovascular Disease (Cardiology) (1). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for North Lake Cardiovascular Center PC was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.