Provider Demographics
NPI:1235277203
Name:BARRINGTON CARDIOLOGY SC
Entity type:Organization
Organization Name:BARRINGTON CARDIOLOGY SC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MD PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SUNIL
Authorized Official - Middle Name:N
Authorized Official - Last Name:KADAKIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-516-2424
Mailing Address - Street 1:912 W NORTHWEST HWY
Mailing Address - Street 2:#100
Mailing Address - City:FOX RIVER GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60021
Mailing Address - Country:US
Mailing Address - Phone:847-516-2424
Mailing Address - Fax:847-750-0390
Practice Address - Street 1:912 NORTHWEST HWY
Practice Address - Street 2:#100
Practice Address - City:FOX RIVER GROVE
Practice Address - State:IL
Practice Address - Zip Code:60021-1925
Practice Address - Country:US
Practice Address - Phone:847-516-2424
Practice Address - Fax:847-750-0390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL05625392OtherBC
ILDE1026OtherRR MC
IL05625392OtherBC
IL212228Medicare ID - Type Unspecified
IL212226Medicare ID - Type Unspecified