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Dr. Ricardo Andres Siller De La Rosa, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Carbondale, Illinois
NPI 1558788539

Ricardo Andres Siller De La Rosa is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician based in Omaha, IL. Ricardo Andres Siller De La Rosa practices in Carbondale, IL and has the professional credentials of MD. The NPI Number for Ricardo Andres Siller De La Rosa is 1558788539 and holds a License No. (Illinois).

The current practice location address for Ricardo Andres Siller De La Rosa is 305 W Jackson St Ste 206, Carbondale, IL and can be reached out via phone at 618-457-3006.

Location: 305 W Jackson St Ste 206, Carbondale, IL, 68131-1590
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558788539
Provider Name
Ricardo Andres Siller De La Rosa
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
305 W Jackson St Ste 206, Carbondale, IL, 68131-1590
Phone Number
618-457-3006
Fax Number
Provider Enumeration Date
03/27/2014
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BP10061730 01 TX MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
305 W Jackson St Ste 206
City
Carbondale
State
Illinois
Zip
62901-1474
Phone Number
618-457-3006
Fax Number
person
Provider Business Mailing Address Details
Address
305 W Jackson St Ste 206
City
Carbondale
State
Illinois
Zip
62901-1474
Phone Number
618-457-3006
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Speciality
-
Taxonomy
208G00000X
License No.
1558788539 (Illinois)
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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