Ca Group, LLC
NPI #1700189974 in Fairview Heights, Illinois
Provider Information
- NPI Number
- 1700189974
- 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
- Dec 9, 2010
- Last Updated
- Feb 21, 2013
Practice Location
- Address
- 317 SALEM PL
- Address 2
- SUITE180
- City
- Fairview Heights
- State
- Illinois
- ZIP Code
- 62208-1367
- Phone
- (618) 628-8294
Authorized Official
- Name
- JAMES B. DAVIS
- Title
- EXECUTIVE DIRECTOR
- Phone
- (618) 257-4644
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Cardiovascular Disease — Cardiovascular Disease |
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