NPI Index

ILLINOIS CARDIOVASCULAR & THORACIC SURGERY, LTD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Active Organization
NPI: 1962450734

Practice Address

1505 EASTLAND DR
SUITE 210
Bloomington, IL 61701

Phone: (309) 662-5506

Specialties

Specialty Code Primary License
Internal Medicine - Cardiovascular Disease 207RC0000X No -
Internal Medicine - Interventional Cardiology 207RI0011X No -
Nuclear Medicine - Nuclear Cardiology 207UN0901X No -
Radiology - Vascular & Interventional Radiology 2085R0204X No -
Physician Assistant 363A00000X No -
Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X Yes -

Frequently Asked Questions

NPI 1962450734 is the National Provider Identifier for ILLINOIS CARDIOVASCULAR & THORACIC SURGERY, LTD, a Thoracic Surgery (Cardiothoracic Vascular Surgery) provider located in Bloomington, IL. This NPI was enumerated on May 4, 2006.

Quick Facts

NPI
1962450734
Type
Organization
Enumerated
May 4, 2006
Last Updated
Apr 24, 2012

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