HEART CARE CENTERS OF ILLINOIS, SC – Physician Assistant, NPI 1104238534

HEART CARE CENTERS OF ILLINOIS, SC is a healthcare provider. based in Palos park, Illinois. specializing in Physician Assistant. The organization holds a License No. 207R00000X (IL). The NPI Number for HEART CARE CENTERS OF ILLINOIS, SC is 1104238534

Main info

Organization
Name
HEART CARE CENTERS OF ILLINOIS, SC
NPI
1104238534
Phone
Not provided
Address
13011 S 104TH AVE
Authorized Official
PHYLLIS GEDZUN PRACTICE MANAGER
Enumeration Date
20 May 2014
Last Update Date
20 May 2014
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for HEART CARE CENTERS OF ILLINOIS, SC

  • 13011 S 104TH AVE

    SUITE 100

    PALOS PARK, IL 604641506

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60464)

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Reviews

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Frequently asked questions

What federal number belongs to HEART CARE CENTERS OF ILLINOIS, SC?
The federal identifier for HEART CARE CENTERS OF ILLINOIS, SC is NPI 1104238534.
Is HEART CARE CENTERS OF ILLINOIS, SC's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize HEART CARE CENTERS OF ILLINOIS, SC's specialty in plain language?
Clinically, the directory lists HEART CARE CENTERS OF ILLINOIS, SC with Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for HEART CARE CENTERS OF ILLINOIS, SC?
We surface Palos Park, Illinois for HEART CARE CENTERS OF ILLINOIS, SC based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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