Illinois Cardiovascular & Thoracic Surgery, Ltd
LBN: Illinois Cardiovascular & Thoracic Surgery, Ltd
Illinois Cardiovascular & Thoracic Surgery, Ltd is an health care organization with primary practice located at 1505 Eastland Dr Suite 210, Bloomington IL 61701-7906. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is the primary health care specialty.
Illinois Cardiovascular & Thoracic Surgery, Ltd can be contacted via phone (309) 662-5506, or through Smith, Glen B via phone (309) 662-5506.
Contact Information
Primary practice address
1505 Eastland Dr Suite 210
Bloomington IL 61701-7906
Phone: (309) 662-5506
Fax: (309) 662-5443
Website:
Health care specialties
Profile Details
| NPI number | 1962450734 |
|---|---|
| LBN Legal business name | Illinois Cardiovascular & Thoracic Surgery, Ltd |
| DBA Doing business as | |
| Authorized official | Smith, Glen B Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Apr 24th, 2012 - about 12 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 | 1962450734 | NPPES |
| Illinois | Other | 05732036 | BLUE SHIELD GROUP NUMBER |
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