Organization · Type 2 NPI
Ca Group LLC
Cardiovascular Disease Physician · Cahokia, IL
NPI number
1477866671
Active
Practice location
4043 Mississippi Ave
Cahokia, IL 62206-1041
Fax (618) 337-5640
Mailing address
4500 Memorial Dr, Medical Affairs Credentialing Department
Belleville, IL 62226-5360
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Cardiovascular Disease Physician Primary | 207RC0000X | None 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.
About NPI 1477866671
Ca Group LLC's National Provider Identifier is 1477866671, issued on Jul 16, 2010. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Cahokia, IL. The record was last updated on Feb 21, 2013.