Cardiac Thoracic & Endovascular Therapies, S.C.
LBN: Cardiac Thoracic & Endovascular Therapies, S.C.
Cardiac Thoracic & Endovascular Therapies, S.C. is an health care organization with primary practice located at 2420 W Nebraska Ave , Peoria IL 61604-3112. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is the primary health care specialty.
Cardiac Thoracic & Endovascular Therapies, S.C. can be contacted via phone (309) 680-5000, or through Williams, James Bertram via phone (309) 680-8666.
Contact Information
Primary practice address
2420 W Nebraska Ave
Peoria IL 61604-3112
Phone: (309) 680-5000
Fax: (309) 680-1002
Website:
Authorized official contact:
Name: Williams, James Bertram Doctor of Medicine (MD)
Phone: (309) 680-8666
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | Illinois | |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | Illinois |
Profile Details
| NPI number | 1962417485 |
|---|---|
| LBN Legal business name | Cardiac Thoracic & Endovascular Therapies, S.C. |
| DBA Doing business as | |
| Authorized official | Williams, James Bertram Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Jan 30th, 2015 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962417485 | NPPES |
| Illinois | MEDICAID | 036099138 | |
| Illinois | Other | 7232062 | |
| Illinois | Other | P00059260 | |
| Illinois | Other | DS6728 |
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