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Illinois Cardiovascular & Thoracic Surgery, Ltd
Physician Assistant in Bloomington, Illinois
NPI 1962450734

Illinois Cardiovascular & Thoracic Surgery, Ltd is a Physician Assistant based in Bloomington, IL. Illinois Cardiovascular & Thoracic Surgery, Ltd practices in Bloomington, IL. The NPI Number for Illinois Cardiovascular & Thoracic Surgery, Ltd is 1962450734 and holds a License No. (Illinois).

The current practice location address for Illinois Cardiovascular & Thoracic Surgery, Ltd is 1505 Eastland Dr, Bloomington, IL and can be reached out via phone at 309-662-5506 and via fax at 309-662-5443.

Location: 1505 Eastland Dr, Bloomington, IL, 61701-7906
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962450734
Provider Name
Illinois Cardiovascular & Thoracic Surgery, Ltd
Credential
Provider Entity Type
Organization
Address
1505 Eastland Dr, Bloomington, IL, 61701-7906
Phone Number
309-662-5506
Fax Number
309-662-5443
Provider Enumeration Date
05/04/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05732036 01 IL BLUE SHIELD GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
1505 Eastland Dr
City
Bloomington
State
Illinois
Zip
61701-7906
Phone Number
309-662-5506
Fax Number
309-662-5443
person
Provider Business Mailing Address Details
Address
1505 Eastland Dr
City
Bloomington
State
Illinois
Zip
61701-7906
Phone Number
309-662-5506
Fax Number
309-662-5443
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Interventional Cardiology
Taxonomy
207RI0011X
License No.
()
Definition
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.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Nuclear Medicine
Speciality
Nuclear Cardiology
Taxonomy
207UN0901X
License No.
()
Definition
A nuclear medicine physician who specializes in nuclear cardiology.
person
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
()
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
person
Provider's Taxonomy Details 5
Type
Allopathic & Osteopathic Physicians
Classification
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Speciality
-
Taxonomy
208G00000X
License No.
()
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 6
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
()
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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