Lake Heart Specialists
NPI 1629063391ActiveOrganization· Internal Medicine, Cardiovascular Disease· Gurnee, IL
Internal Medicine, Cardiovascular Disease in Gurnee, Illinois, registered in NPPES in September 2005. The authorized official on file is Raymond Bong Chow, Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1629063391 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 19, 2005 |
| Last updated in NPPES | Oct 29, 2026 |
| Certified by provider | Oct 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Cardiovascular Disease Primary | 207RC0000X | — | — |
| Registered Nurse, Cardiac Rehabilitation | 163WC3500X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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