Organization · Type 2 NPI

Sandra Illum MD PLLC

Cardiovascular Disease Physician · Dallas, TX

NPI number 1144761404 Active

Practice location

17101 Preston Rd Ste 190S
Dallas, TX 75248-1331

Call (214) 500-1689 Map

Mailing address

17101 Preston Rd
Dallas, TX 75248-1331

Specialties and licenses

Taxonomy	Code	License
Cardiovascular Disease Physician Primary	207RC0000X	P1086 (TX)
Medical Specialty Clinic/Center	261QM2500X	P1086 (TX)

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.

Other cardiovascular disease physician providers in Dallas

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NPI record

NPI: 1144761404
Entity type: Organization (Type 2)
Issued: Mar 20, 2017
Last updated: Jul 21, 2022
Status: Active

Other names

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Advanced Heart and Vascular Center · doing business as
Advanced Heart and Vascular Center · doing business as

Authorized official

Dr. Annika Sandra Illum, MD
Cardiologist
(214) 377-7576

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About NPI 1144761404

Sandra Illum MD PLLC's National Provider Identifier is 1144761404, issued on Mar 20, 2017. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Dallas, TX. The record was last updated on Jul 21, 2022.