Illinois Cardiac Surgery Associates Sc

LBN: Illinois Cardiac Surgery Associates Sc
Illinois Cardiac Surgery Associates Sc is an health care organization with primary practice located at 515 Ne Glen Oak Suite 105, Peoria IL 61603-3167. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as the primary health care specialty. Illinois Cardiac Surgery Associates Sc can be contacted via phone (309) 674-2002, or through Geiss, Dale M via phone (309) 674-2002.

Contact Information

Primary practice address
515 Ne Glen Oak Suite 105 Peoria IL 61603-3167
Phone: (309) 674-2002
Fax: (309) 624-9898
Website:
Map and Directions
Authorized official contact:
Name: Geiss, Dale M Doctor of Medicine (MD)
Phone: (309) 674-2002

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X Illinois

Profile Details

NPI number 1114018439
LBN Legal business name Illinois Cardiac Surgery Associates Sc
DBA Doing business as
Authorized official Geiss, Dale M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2006
Last updated May 6th, 2014 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114018439 NPPES
Illinois Other 07215075 BLUE SHEILD

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