Provider Demographics
NPI:1174751978
Name:ANDRADE, AMBAR AFSHAR (MD, FACC)
Entity type:Individual
Prefix:
First Name:AMBAR
Middle Name:AFSHAR
Last Name:ANDRADE
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Gender:F
Credentials:MD, FACC
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Mailing Address - Street 1:4440 W. 95 ST., OPP 6409P
Mailing Address - Street 2:ADVOCATE CHRIST MEDICAL CENTER HEART INSTITUTE
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-2600
Mailing Address - Country:US
Mailing Address - Phone:708-684-7031
Mailing Address - Fax:708-520-1875
Practice Address - Street 1:4440 W. 95TH ST, HEART INSTITUTE OPP
Practice Address - Street 2:ADVOCATE CHRIST MEDICAL CENTER
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-2600
Practice Address - Country:US
Practice Address - Phone:708-684-7031
Practice Address - Fax:708-520-1875
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-30
Last Update Date:2022-05-13
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Provider Licenses
StateLicense IDTaxonomies
IL036-137440207R00000X, 207RC0000X, 207RA0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0001XAllopathic & Osteopathic PhysiciansInternal MedicineAdvanced Heart Failure and Transplant Cardiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease