ILLINOIS CARDIOVASCULAR & THORACIC SURGERY, LTD is a thoracic surgery cardiothoracic vascular surgery in Bloomington, IL. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. ILLINOIS CARDIOVASCULAR & THORACIC SURGERY, LTD NPI is 1962450734. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
1505 EASTLAND DR
SUITE 210
BLOOMINGTON, IL
ZIP 61701-906
Phone: (309) 662-5506
Fax: (309) 662-5443
The provider's authorized official is Glen B Smith .
The authorized official title is Chiref Operations Officer and has the following contact phone number (309) 662-5506.
The CLIA number assigned to this NPI record is 14D2209090 - school/student health service with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/4/2006 and was last updated on 4/24/2012.