Cardiac Consultants SC
Organization Active NPI Cardiovascular Disease Physician · Peoria, IL
NPI 1265407399 · NPPES record last updated Aug 2, 2010
Key facts
- NPI
- 1265407399
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 036072639 (IL)
- Legal business name
- CARDIAC CONSULTANTS SC
- Practice address
- 900 Main Street
Suite 320
Peoria, IL 61602 - Phone
- (309) 672-3140
- Fax
- (309) 672-3145
- NPI assigned
- Feb 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Subhash J Patel, MD FACP FACC
- Title
- President Physician
- Phone
- (309) 672-3140
National Provider Directory
Locations
900 Main St
Ste 320
Peoria, IL 61602
Phone (309) 672-3140
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician |
207RC0000X | 036072639 | IL | Yes |
Addresses
Primary practice location
900 Main Street
Suite 320
Peoria, IL 61602
Mailing address
900 Main Street
Suite 320
Peoria, IL 61602
Phone (309) 672-3140
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036072639 | Medicaid | IL |
Other providers in Peoria, IL
- Carizza Calupas Camposano
- Candice R Hogden
- Rodolfo Luciano Cantu Jr.
- Susan M Canty
- Elizabeth Joanna Caraballo Torrealba
- Cardiac Thoracic & Endovascular Therapies, S.C.
- Cardinal Medical Group, LTD.
- Cardiosom, LLC
- Care Planning Institute, Inc
- Care Solutions Home Services LLC
All providers in Peoria, IL · Cardiovascular Disease Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.