Fairview Heights Medical Group SC
Fairview Heights Medical Group SC provides Pediatric Cardiology Physician services in Carbondale, Illinois. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
2601 W Main StCarbondale, IL 62901-1031 Not confirmed with CMS for 18 years — call before visiting
Phone: (618) 549-5361
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Cardiology Physician (primary) | Taxonomy 2080P0202X |
|---|
Record details
| NPI number | 1538292370 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Raymond Davidson — President · (314) 286-2028 |
| Other names | Pediactric Cardiology Of Illinois |
| NPI enumerated | March 13, 2007 |
| Last updated in NPPES | January 7, 2008 |
| Mailing address | 670 Mason Ridge Center Dr, Suite 300, Saint Louis, MO 63141-8573 |