Illinois Cardiovascular & Thoracic Surgery, Ltd in Bloomington - Nuclear Cardiology
Illinois Cardiovascular & Thoracic Surgery, Ltd - NPI 1962450734
Illinois Cardiovascular & Thoracic Surgery, Ltd is a Nuclear Cardiology in Bloomington, Illinois. Illinois Cardiovascular & Thoracic Surgery, Ltd practices all healthcare services and medical treatments related to Nuclear Cardiology. The NPI Number for Illinois Cardiovascular & Thoracic Surgery, Ltd is 1962450734. The last update date is 2012-04-24.
Illinois Cardiovascular & Thoracic Surgery, Ltd's current location address is 1505 Eastland Dr, Bloomington, Illinois. You can contact this provider via phone number 3096625506 and fax number 3096625443. The mailing address for Illinois Cardiovascular & Thoracic Surgery, Ltd is 1505 Eastland Dr, Bloomington, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Illinois Cardiovascular & Thoracic Surgery, Ltd |
|---|---|
| Address | 1505 Eastland Dr, Bloomington, Illinois |
| Phone Number | 3096625506 |
| Fax Number | 3096625443 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIREF OPE |
|---|---|
| Authorized Official Name | Smith B Glen |
| Credentials | M.D. |
| Telephone Number | 3096625506 |
NPI Number Detail
| NPI Number | 1962450734 |
|---|---|
| Provider Enumeration Date | 2006-05-04 |
| Last Updated Date | 2012-04-24 |
Provider Mailing Address Detail
| Address | 1505 Eastland Dr |
|---|---|
| City | Bloomington |
| State | Illinois (IL) |
| Post Code | 617017906 |
| Phone Number | 3096625506 |
| Fax Number | 3096625443 |
Provider's Primary Taxonomy Detail
| Speciality | Nuclear Cardiology |
|---|---|
| Taxonomy | 207Un0901X |
|
Definition: A nuclear medicine physician who specializes in nuclear cardiology. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5732036 | IL | BLUE SHIELD GROUP NUMBER |
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What is the unique provider identifier assigned to Illinois Cardiovascular & Thoracic Surgery, Ltd?
The Illinois Cardiovascular & Thoracic Surgery, Ltd has been issued the NPI (National Provider Identifier) 1962450734 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
What is the unique 10-digit identification code issued to Illinois Cardiovascular & Thoracic Surgery, Ltd by the Centers for Medicare & Medicaid Services?
The Illinois Cardiovascular & Thoracic Surgery, Ltd has been assigned the NPI (National Provider Identifier) 1962450734 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
When did Illinois Cardiovascular & Thoracic Surgery, Ltd receive its 1962450734 assignment?
The Illinois Cardiovascular & Thoracic Surgery, Ltd was assigned its 1962450734 on 2006-05-04, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Illinois Cardiovascular & Thoracic Surgery, Ltd last refreshed?
The information related to the Illinois Cardiovascular & Thoracic Surgery, Ltd, including its address, specialty, and other relevant details, was last updated on 2012-04-24.
When was the information regarding Illinois Cardiovascular & Thoracic Surgery, Ltd, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Illinois Cardiovascular & Thoracic Surgery, Ltd, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-04-24.