Annika S Illum in Dallas - Cardiovascular Disease
Annika S Illum - NPI 1588865778
Annika S Illum is a Cardiovascular Disease in Dallas, Texas. Annika S Illum practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Annika S Illum is 1588865778. The last update date is 2022-07-21.
Annika S Illum's current location address is 17101 Preston Rd Ste 190-s, Dallas, Texas. You can contact this provider via phone number 2143777576 and fax number 2143777690. The mailing address for Annika S Illum is 17101 Preston Rd Ste 190-s, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Annika S Illum |
|---|---|
| Address | 17101 Preston Rd Ste 190-s, Dallas, Texas |
| Phone Number | 2143777576 |
| Fax Number | 2143777690 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1588865778 |
|---|---|
| Provider Enumeration Date | 2007-05-29 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 17101 Preston Rd Ste 190-s |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752481331 |
| Phone Number | 2143777576 |
| Fax Number | 2143777690 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | MD.200464 |
|
Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00U3Z7 | TX | BCBS |
Post Comment/ Review Below
What is the Annika S Illum's unique identification number?
The Annika S Illum has been assigned the NPI (National Provider Identifier) Number 1588865778 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Annika S Illum is physically located?
The Annika S Illum is physically situated at the following address: 17101 Preston Rd Ste 190-S, Dallas, TX, 752481331.
What is Annika S Illum's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Annika S Illum is Cardiovascular Disease, and the corresponding taxonomy classification code for this specialized field is 207Rc0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1588865778 to Annika S Illum?
The Annika S Illum received its 1588865778 assignment from the Centers for Medicare & Medicaid Services on 2007-05-29.
As of what date were the details pertaining to Annika S Illum last refreshed?
The information related to the Annika S Illum, including its address, specialty, and other relevant details, was last updated on 2022-07-21.
NPI Number: 1366446817
Address: 1600 Medical Center Dr, Huntington, WV
NPI Number: 1558366757
Address: 47 Town Street, Norwich, CT
NPI Number: 1194720656
Address: 155 Inverness Dr W, Englewood, CO