DR. ROBERT A IAFFALDANO


Address: 13011 S 104th Ave Ste 100, Palos Park, IL 60464-1508
Phone: 7082743278

DR. ROBERT A IAFFALDANO (NPI# 1043274145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043274145
Entity Type Individual
Full Name DR. ROBERT A IAFFALDANO
Credential M.D.
Practice Address 13011 S 104th Ave Ste 100
Palos Park
IL 60464-1508
Practice Telephone 7082743278
Practice Fax Number 7082743299
Mailing Telephone 7084783600
Mailing Fax Number 7084783552
Enumeration Date 2006-04-14
Last Update Date 2020-09-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
036081021 IL Allopathic & Osteopathic Physicians
Y 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
036081021 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036081021 05
IL RAILROAD MEDICARE GROUP PTAN NUMBER CG1672 01
IL RAILROAD MEDICARE GROUP PTAN NUMBER CN2703 01
IL RAILROAD MEDICARE COOK 060042337 01
IL BLUECROSS BLUE SHIELD 01621208 01
IL MEDICARE GROUP 236551 01
IL RAILROAD MEDICARE GROUP PTAN NUMBER CD8033 01
IL RAILROAD MEDICARE KANKAKE P00265015 01
IL RAILROAD MEDICARE WILL 060043542 01
IL GROUP NPI 1508810086 01
IL MEDICARE GROUP 236550 01
IL MEDICARE GROUP 416810 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
10260 191st St Ste 102, Mokena, IL 604488802 7084784224 7084784033
11560 S Kedzie Ave Ste 100, Merrionette Park, IL 608034517 7088241114 7088249341
11560 S Kedzie Ave Ste 102, Merrionette Park, IL 608034517 7089727525 7089727526
2338 New St, Blue Island, IL 604062402 7088241114 7088249341

Office Location

Street Address 13011 S 104TH AVE STE 100
City PALOS PARK
State IL
Zip Code 60464-1508

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790749455 John J Arrotti Internal Medicine 13011 S 104th Ave Ste 100, Palos Park, IL 60464-1508 2006-04-12
1942844212 Courtney Lee Montgomery Nurse Practitioner 13011 S 104th Ave Ste 100, Palos Park, IL 60464-1508 2019-10-30
1396065884 Hong Jun Yun Internal Medicine 13011 S 104th Ave Ste 100, Palos Park, IL 60464 2010-06-07
1831355585 Gregory Paul Macaluso Internal Medicine 13011 S 104th Ave Ste 100, Palos Park, IL 60464-1508 2008-08-01
1679778716 Ravi Kumar Ramana Internal Medicine 13011 S 104th Ave Ste 100, Palos Park, IL 60464-1508 2007-06-19
1194789354 Robert C Prentice Internal Medicine 13011 S 104th Ave Ste 100, Palos Park, IL 60464-1508 2006-04-14
1932163037 Thomas T Kason Internal Medicine 13011 S 104th Ave Ste 100, Palos Park, IL 60464-1508 2006-04-14
1932163623 Dominick J Stella Internal Medicine 13011 S 104th Ave Ste 100, Palos Park, IL 60464-1508 2006-04-12
1225092992 Roy C Bliley Internal Medicine 13011 S 104th Ave Ste 100, Palos Park, IL 60464-1508 2006-04-12
1528022191 Peter W Kakavas Internal Medicine 13011 S 104th Ave Ste 100, Palos Park, IL 60464-1508 2006-04-12
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518456102 Lisa Kay York Behavior Technician 8207 Il-83, Palos Park, IL 60464 2018-05-09
1972000479 Elizabeth Faye Putman Physical Therapy Assistant 10300 Village Cir Dr, Peace Village, Palos Park, IL 60464 2018-04-11
1730446998 Steven Jay Quinn Internal Medicine 11900 Southwest Hwy Ste 101, Palos Park, IL 60464 2012-04-12
1376677625 Palos C C S D 118 Local Education Agency (LEA) 8800 West 119th Street, Palos Park, IL 60464 2007-03-16
1730233297 Rajitha Lakshmi Avva Psychiatry & Neurology Palos Behavioral Health, 13011 S 104th Ave, Palos Park, IL 60464 2007-01-22
1487714671 Maple Park Dental Care, P.C. Dentist 1048 104th Street, #108, Naperville, IL 60464 2006-12-11
1912065418 David M Kozal Dentist 11900 Sw Hwy, Palos Park, IL 60464 2006-12-05
1598845422 Michele Antoinette Nealon Woods Psychologist Palos Behavioral Health Professionals, 103011 S 104th Ave Suite 200, Palos Park, IL 60464 2006-10-16
1679683585 Linda G Baer Psychologist 13011 104th Ave, Suite 200, Palos Park, IL 60464 2006-08-30
1578507430 Hugh Michael Oneill Family Medicine 14741 Ravinia Ave, Orland Park, IL 60464 2006-06-15
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Taxonomy Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508810086 Heart Care Centers of Illinois, S.c. Internal Medicine 13011 S 104th Ave, Suite 100, Palos Park, IL 60464-1506 2006-05-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1164984514 Cil Care of Il II, LLC Internal Medicine 1900 E Golf Rd Ste 950, Schaumburg, IL 60173-5034 2019-04-04
1467950733 Coordinated Health of Il, LLC Internal Medicine 1900 E Golf Rd Ste 950c, Schaumburg, IL 60173-5834 2018-01-31
1740728039 Jenna Schrage Internal Medicine 317 N 5th St, Springfield, IL 62701-1003 2017-02-07
1417373010 Hashim Gazi Internal Medicine 3331 West Deyoung, Suite 100, Marion, IL 62959 2014-03-07
1992041644 Daniel Brent Nelson Internal Medicine 3810 Farhills Dr, Champaign, IL 61822-9321 2012-12-28
1801184767 Surya Teja Chaturvedula Internal Medicine 5409 N Knoxville Ave Ste 207, Peoria, IL 61614-5069 2011-07-13
1841583952 C Dean Katsamakis Do Facc Sc Internal Medicine 240 Waukegan Rd, Glenview, IL 60025-5159 2011-05-23
1154550119 Elliott M Groves Internal Medicine 840 S Wood St Ste Smc715, Chicago, IL 60612-4325 2009-07-10
1841484813 Elsayed Mohamed Internal Medicine 804 E Woodfield Rd Ste 300, Schaumburg, IL 60173-4776 2007-08-31
1952513335 Muhammad Sikander Akbar Internal Medicine 6300 N Lincoln Ave, Chicago, IL 60659-1204 2007-05-05
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Competitor

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City PALOS PARK
Zip Code 60464

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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