# CARDIAC THORACIC & ENDOVASCULAR THERAPIES, S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962417485
- **Authorized official:** DR. JAMES BERTRAM WILLIAMS MD (OWNER/PRESIDENT)
- **Authorized official phone:** (309) 680-8666

## Contact information

- **Practice address:** 2420 W NEBRASKA AVE, PEORIA, IL 61604-3112
- **Practice address phone:** (309) 680-5000
- **Practice address fax:** (309) 680-1002
- **Mailing address:** 2420 W NEBRASKA AVE, PEORIA, IL 61604-3112
- **Mailing address phone:** (309) 680-5000
- **Mailing address fax:** (309) 680-1002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | IL | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | IL | Yes |

## Other

- **Enumeration date:** 07/31/2006
- **Last updated:** 01/30/2015