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CA GROUP LLC NPI 1255634424


NPI Information

NPI: 1255634424
Provider Name: CA GROUP, LLC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
310 N SEVEN HILLS RD
STE 150
O FALLON, IL
ZIP 62269
Phone: (618) 632-1495
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CA GROUP, LLC is a cardiovascular disease internal medicine in O Fallon, IL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. CA GROUP, LLC NPI is 1255634424. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

310 N SEVEN HILLS RD
STE 150
O FALLON, IL
ZIP 62269-111
Phone: (618) 632-1495
Fax: (618) 624-0840

The provider's authorized official is James B. Davis .
The authorized official title is Executive Director and has the following contact phone number (618) 257-4644.

The enumeration date for this NPI number is 12/9/2010 and was last updated on 2/21/2013.


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
1207RC0000XInternal MedicineCardiovascular DiseaseYes

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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