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Dr. Annika S Illum, MD
Cardiovascular Disease Physician in Dallas, Texas
NPI 1588865778

Annika S Illum is a Cardiovascular Disease Physician based in Dallas, TX and is specialized in Cardiovascular Disease. Annika S Illum practices in Dallas, TX and has the professional credentials of MD. The NPI Number for Annika S Illum is 1588865778 and holds a License No. MD.200464 (Texas).

The current practice location address for Annika S Illum is 17101 Preston Rd Ste 190-S, Dallas, TX and can be reached out via phone at 214-377-7576 and via fax at 214-377-7690.

Location: 17101 Preston Rd Ste 190-S, Dallas, TX, 75248-1331
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588865778
Provider Name
Annika S Illum
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
17101 Preston Rd Ste 190-S, Dallas, TX, 75248-1331
Phone Number
214-377-7576
Fax Number
214-377-7690
Provider Enumeration Date
05/29/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00U3Z7 01 TX BCBS
institution
Provider Business Practice Location Address Details
Address
17101 Preston Rd Ste 190-S
City
Dallas
State
Texas
Zip
75248-1331
Phone Number
214-377-7576
Fax Number
214-377-7690
person
Provider Business Mailing Address Details
Address
17101 Preston Rd Ste 190-S
City
Dallas
State
Texas
Zip
75248-1331
Phone Number
214-377-7576
Fax Number
214-377-7690
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
MD.200464 (Louisiana)
Definition
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.
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