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Cardiac Thoracic & Endovascular Therapies, S.c.
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Peoria, Illinois
NPI 1962417485

Cardiac Thoracic & Endovascular Therapies, S.c. is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician based in Peoria, IL. Cardiac Thoracic & Endovascular Therapies, S.c. practices in Peoria, IL. The NPI Number for Cardiac Thoracic & Endovascular Therapies, S.c. is 1962417485 and holds a License No. (Illinois).

The current practice location address for Cardiac Thoracic & Endovascular Therapies, S.c. is 2420 W Nebraska Ave, Peoria, IL and can be reached out via phone at 309-680-5000 and via fax at 309-680-1002.

Location: 2420 W Nebraska Ave, Peoria, IL, 61604-3112
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962417485
Provider Name
Cardiac Thoracic & Endovascular Therapies, S.c.
Credential
Provider Entity Type
Organization
Address
2420 W Nebraska Ave, Peoria, IL, 61604-3112
Phone Number
309-680-5000
Fax Number
309-680-1002
Provider Enumeration Date
07/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036099138 05 IL
7232062 01 IL BLUE SHIELD PROVIDER NO
P00059260 01 IL RETIRED RAILROAD MEDICARE
DS6728 01 IL RETIRED RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
2420 W Nebraska Ave
City
Peoria
State
Illinois
Zip
61604-3112
Phone Number
309-680-5000
Fax Number
309-680-1002
person
Provider Business Mailing Address Details
Address
2420 W Nebraska Ave
City
Peoria
State
Illinois
Zip
61604-3112
Phone Number
309-680-5000
Fax Number
309-680-1002
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
(Illinois)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Speciality
-
Taxonomy
208G00000X
License No.
(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.
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