Pediatric Cardiology Of Illinois

LBN: Fairview Heights Medical Group Sc
Pediatric Cardiology Of Illinois is an health care organization with primary practice located at 11Th And Broadway 4Th Floor, Quincy IL 62301. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as the primary health care specialty. Fairview Heights Medical Group Sc can be contacted via phone (217) 223-5811, or through Davidson, Raymond P via phone (314) 286-2028.

Contact Information

Primary practice address
11Th And Broadway 4Th Floor Quincy IL 62301
Phone: (217) 223-5811
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Davidson, Raymond P Doctor of Medicine (MD)
Phone: (314) 286-2028

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X

Profile Details

NPI number 1487787818
LBN Legal business name Fairview Heights Medical Group Sc
DBA Doing business as Pediatric Cardiology Of Illinois
Authorized official Davidson, Raymond P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2007
Last updated Jan 7th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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