DR. M.D. David A Cusick, NPI 1093779647
Cardiovascular Disease Physician in Berwyn, IL, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1093779647
NPI Entity Type Individual
Provider Name DR. M.D. David A Cusick
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 3231 Euclid Ave, Suite 201, Berwyn, IL, US
Provider Mailing Address 13011 S 104th Ave Ste 100, Palos Park, IL, US, 604641508
Gender Male
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

207RC0000X

Taxonomy Name Cardiovascular Disease Physician
Classification

Internal Medicine

Group

Allopathic & Osteopathic Physicians

License No. 036084799
License State IL
Description 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.

Business Address

DR. M.D. David A Cusick
3231 Euclid Ave
Suite 201

Berwyn, IL, US

Phone: 708-783-2055
Fax: 708-783-2181

Mailing Address

DR. M.D. David A Cusick
13011 S 104th Ave Ste 100
Palos Park, IL, US
ZIP 604641508
Phone: 708-478-3600
Fax: 708-478-3552

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
060056549 IL RAILROAD MEDICARE KANKAKE 01
060042343 IL RAILROAD MEDICARE COOK 01
L68227 IL MEDICARE INDIVIDUAL PTAN 01
CD8033 IL RAILROAD MEDICARE GROUP PTAN NUMBER 01
CG1672 IL RAILROAD MEDICARE GROUP PTAN NUMBER 01
L57370 IL MEDICARE INDIVIDUAL PTAN 01
CN2703 IL RAILROAD MEDICARE GROUP PTAN NUMBER 01
01621208 IL BLUECROSS BLUE SHIELD 01
036084799 IL MEDICAID 05
416810 IL MEDICARE GROUP PTAN 01
060053215 IL RAILROAD MEDICARE WILL 01
1508810086 IL GROUP NPI 01
236550 IL MEDICARE GROUP PTAN 01
L70143 IL MEDICARE INDIVIDUAL PTAN 01
236551 IL MEDICARE GROUP PTAN 01

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
DIRECT [email protected] No 13011 S 104th Ave Ste 100, Palos Park, IL, US

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