CA GROUP LLC NPI 1376857656

NPI Information

NPI: 1376857656
Provider Name: CA GROUP, LLC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
4550 MEMORIAL DR
STE 310
BELLEVILLE, IL
ZIP 62226
Phone: (618) 257-6112
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CA GROUP, LLC is a cardiovascular disease internal medicine in Belleville, 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 1376857656. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4550 MEMORIAL DR
STE 310
BELLEVILLE, IL
ZIP 62226-372
Phone: (618) 257-6112
Fax: (618) 257-6143

The provider's authorized official is Lisa K Mcdonald .
The authorized official title is Credentialing Coordinator and has the following contact phone number (618) 257-4644.

The enumeration date for this NPI number is 7/29/2010 and was last updated on 2/15/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease			Yes

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: 11/14/2023

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