Organization · Type 2 NPI

Ca Group, LLC

Cardiovascular Disease Physician · O Fallon, IL

NPI number 1255634424 Active

Practice location

310 N Seven Hills Rd, Ste 150
O Fallon, IL 62269-4111

Fax (618) 624-0840

Mailing address

4500 Memorial Dr, Medical Affairs Credentialing Department
Belleville, IL 62226-5360

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.

5 other providers at this address

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About NPI 1255634424

Ca Group, LLC's National Provider Identifier is 1255634424, issued on Dec 9, 2010. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in O Fallon, IL. The record was last updated on Feb 21, 2013.