Union Associated Physicians Clinic, LLC
Organization Active NPI Clinical Cardiac Electrophysiology Physician · Robinson, IL
NPI 1770847865 · NPPES record last updated Jul 3, 2012
Key facts
- NPI
- 1770847865
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Cardiac Electrophysiology Physician 207RC0001X
- Legal business name
- UNION ASSOCIATED PHYSICIANS CLINIC, LLC
- Practice address
- 1000 N Allen St
Crawford Memorial Hospital Specialty Outreach Clinic
Robinson, IL 62454-1167 - Phone
- (618) 546-2591
- Fax
- (618) 546-2668
- NPI assigned
- Jul 3, 2012
- Organization subpart
- No
Authorized official
- Name
- Michael P Fouty
- Title
- Cro
- Phone
- (812) 242-3434
Corporate family (same tax ID) 18
National Provider Directory
- Tax ID family
- Union Associated Physicians
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician |
207RC0000X | |||
| Clinical Cardiac Electrophysiology Physician |
207RC0001X | Yes |
Addresses
Primary practice location
1000 N Allen St
Crawford Memorial Hospital Specialty Outreach Clinic
Robinson, IL 62454-1167
Mailing address
221 S 6TH St
Terre Haute, IN 47807-4214
Phone (812) 232-0564
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All providers in Robinson, IL · Clinical Cardiac Electrophysiology 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 Jul 3, 2012. 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.