Heartland Surgery LLC

NPI #1336172766 in Marion, Illinois

Provider Information

NPI Number: 1336172766
Entity Type: Organization
Organization Name: Heartland Surgery LLC
Primary Specialty: Surgery
Enumeration Date: Jul 9, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 3402 OFFICE PARK DR
City: Marion
State: Illinois
ZIP Code: 62959-6477
Phone: (618) 993-3221

Authorized Official

Name: CLAY O. DEMATTEI, MD
Title: OWNER
Phone: (618) 993-3221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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