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PEDIATRIC CARDIOLOGY ASSOCIATES SC NPI 1205863578


NPI Information

NPI: 1205863578
Provider Name: PEDIATRIC CARDIOLOGY ASSOCIATES SC
Classification: Pediatrics - 2080P0202X
Entity Type: Organization

Specialization: Pediatric Cardiology

Address:
420 NE GLEN OAK AVE
SUITE 304
PEORIA, IL
ZIP 61603
Phone: (309) 655-3453
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PEDIATRIC CARDIOLOGY ASSOCIATES SC is a pediatric cardiology pediatrics in Peoria, IL. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. PEDIATRIC CARDIOLOGY ASSOCIATES SC NPI is 1205863578. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

420 NE GLEN OAK AVE
SUITE 304
PEORIA, IL
ZIP 61603-105
Phone: (309) 655-3453
Fax: (309) 655-3410

The provider's authorized official is Douglas J Schneider .
The authorized official title is President and has the following contact phone number (309) 655-3453.

The enumeration date for this NPI number is 6/26/2006 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0202XPediatricsPediatric CardiologyILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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