Provider Demographics
NPI:1811941222
Name:HEARTCARE CARDIOVASCULAR SPECIALISTS, SC
Entity type:Organization
Organization Name:HEARTCARE CARDIOVASCULAR SPECIALISTS, SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:ALIKAKOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-918-1500
Mailing Address - Street 1:PO BOX 550
Mailing Address - Street 2:
Mailing Address - City:LIBERTYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60048-0550
Mailing Address - Country:US
Mailing Address - Phone:847-918-1500
Mailing Address - Fax:847-918-7850
Practice Address - Street 1:755 S MILWAUKEE AVE
Practice Address - Street 2:SUITE 263
Practice Address - City:LIBERTYVILLE
Practice Address - State:IL
Practice Address - Zip Code:60048-3253
Practice Address - Country:US
Practice Address - Phone:847-918-1500
Practice Address - Fax:847-918-7850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2011-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL36094108207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty