PRAIRIE CARDIOVASCULAR CONSULTANTS LTD NPI 1659539559

NPI Information

  • NPI: 1659539559
  • Provider Name: PRAIRIE CARDIOVASCULAR CONSULTANTS LTD
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • Former Legal Business Name: JAMES T DOVE MD SC
  • CLIA Number: 14D1073210
  • Address: 619 E MASON ST
    SUITE 4P57
    SPRINGFIELD, IL
    ZIP 62701
  • Phone: (217) 788-0706

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NPI Details

PRAIRIE CARDIOVASCULAR CONSULTANTS LTD is a cardiovascular disease internal medicine in Springfield, 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. PRAIRIE CARDIOVASCULAR CONSULTANTS LTD NPI is 1659539559. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is James T Dove Md Sc.

The provider's business location address is:

619 E MASON ST
SUITE 4P57
SPRINGFIELD, IL
ZIP 62701-034
Phone: (217) 788-0706

The provider's authorized official is Andrew Watson .
The authorized official title is Chief Financial Officer and has the following contact phone number (217) 788-0706.

The CLIA number assigned to this NPI record is 14D1073210 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/28/2008 and was last updated on 3/17/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist042003767ILLINOISNo
2207RC0000XInternal MedicineCardiovascular DiseaseYes

What is NPI?

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This page was last updated on: 11/21/2025

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