Organization Active NPI

Apichart L Radee MD SC

  • Interventional Cardiology Physician
  • Peoria, IL
National Provider Identifier
1740454214
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
036-057355 Issued in IL
Legal business name
APICHART L RADEE MD SC
Practice address
900 Main St
Suite 710
Peoria, IL 61602-1005
Phone
(309) 637-0177
Fax
(309) 637-0736
NPI assigned
Apr 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Apichart L. Radee, M.D.
Title
Owner
Phone
(309) 637-0177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X 036-057355 IL Primary

Addresses

Primary practice location

900 Main St
Suite 710
Peoria, IL 61602-1005

Mailing address

900 Main St
Suite 710
Peoria, IL 61602-1005
Phone (309) 637-0177

National Provider Directory

National Provider Directory

Locations

900 Main St
Ste 710
Peoria, IL 61602
Phone (309) 637-0177

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269388800000",
    "number": "1740454214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MAIN ST",
            "address_2": "SUITE 710",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616021005",
            "telephone_number": "309-637-0177",
            "fax_number": "309-637-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MAIN ST",
            "address_2": "SUITE 710",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616021005",
            "telephone_number": "309-637-0177",
            "fax_number": "309-637-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APICHART L RADEE MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2010-03-24",
        "status": "A",
        "authorized_official_last_name": "RADEE",
        "authorized_official_first_name": "APICHART",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-637-0177",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036-057355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.