Ca Group, LLC

NPI #1376857656 in Belleville, Illinois

Provider Information

NPI Number
1376857656
Entity Type
Organization
Organization Name
Ca Group, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
CA GROUP, LLC
Primary Specialty
Internal Medicine - Cardiovascular Disease
Enumeration Date
Jul 29, 2010
Last Updated
Feb 15, 2013

Practice Location

Address
4550 MEMORIAL DR
Address 2
STE 310
ZIP Code
62226-5372
Phone
(618) 257-6112

Authorized Official

Name
LISA K MCDONALD
Title
CREDENTIALING COORDINATOR
Phone
(618) 257-4644

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Cardiovascular DiseaseCardiovascular Disease

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