Illinois Cardiovascular & Thoracic Surgery, Ltd
NPI #1962450734 in Bloomington, Illinois
Provider Information
- NPI Number
- 1962450734
- Entity Type
- Organization
- Organization Name
- Illinois Cardiovascular & Thoracic Surgery, Ltd
- Primary Specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery)
- Enumeration Date
- May 4, 2006
- Last Updated
- Apr 24, 2012
Practice Location
- Address
- 1505 EASTLAND DR
- Address 2
- SUITE 210
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-7906
- Phone
- (309) 662-5506
Authorized Official
- Name
- DR. GLEN B SMITH, M.D.
- Title
- CHIREF OPERATIONS OFFICER
- Phone
- (309) 662-5506
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Cardiovascular Disease — Cardiovascular Disease |
| Internal Medicine - Interventional Cardiology — Interventional Cardiology |
| Nuclear Medicine - Nuclear Cardiology — Nuclear Cardiology |
| Radiology - Vascular & Interventional Radiology — Vascular & Interventional Radiology |
| Physician Assistant |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) |
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