Organization · Type 2 NPI

Deaconess Illinois Specialty Clinic, Inc.

Interventional Cardiology Physician · Sparta, IL

NPI number 1619684172 Active

Practice location

205 S Burns Ave
Sparta, IL 62286-1867

Fax (618) 939-4256

Mailing address

PO Box 34266
Belfast, ME 04915-0620

Specialties and licenses

TaxonomyCodeLicense
Interventional Cardiology Physician Primary 207RI0011XNone listed
Physician Assistant 363A00000XNone listed
Medical Physician Assistant 363AM0700XNone listed
Nurse Practitioner 363L00000XNone listed

Interventional Cardiology Physician: An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

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About NPI 1619684172

Deaconess Illinois Specialty Clinic, Inc.'s National Provider Identifier is 1619684172, issued on Nov 3, 2022. The primary taxonomy on file is Interventional Cardiology Physician (207RI0011X), and the practice location is in Sparta, IL. The record was last updated on Jan 26, 2023.