Organization · Type 2 NPI

Fairview Heights Medical Group SC

Cardiovascular Disease Physician · Staunton, IL

NPI number 1114110350 Active

Practice location

400 N Caldwell St
Staunton, IL 62088-1423

Call (618) 635-2200 Map

Fax (618) 635-4244

Mailing address

670 Mason Ridge Center Dr, Suite 300
St. Louis, MO 63141-8573

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000XNone listed

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

8 other providers at this address

About NPI 1114110350

Fairview Heights Medical Group SC's National Provider Identifier is 1114110350, issued on Aug 21, 2007. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Staunton, IL. The record was last updated on Jan 7, 2008.