Organization · Type 2 NPI

Illinois Cardiac Surgery Associates SC

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Peoria, IL

NPI number 1114018439 Active

Practice location

515 NE Glen Oak, Suite 105
Peoria, IL 61603-3167

Fax (309) 624-9898

Specialties and licenses

TaxonomyCodeLicense
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary 208G00000XNone listed

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician: A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of th…

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About NPI 1114018439

Illinois Cardiac Surgery Associates SC's National Provider Identifier is 1114018439, issued on Sep 28, 2006. The primary taxonomy on file is Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (208G00000X), and the practice location is in Peoria, IL. The record was last updated on May 6, 2014.