Organization
CARDIAC CONSULTANTS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUBHASH J PATEL MD FACP FACC (PRESIDENT PHYSICIAN)
(309) 672-3140
Entity
Organization
Contact information
Practice address
900 MAIN STREET, SUITE 320, PEORIA, IL 61602
(309) 672-3140
(309) 672-3145
Mailing address
900 MAIN STREET, SUITE 320, PEORIA, IL 61602
(309) 672-3140
(309) 672-3145
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036072639
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036072639
—
IL
Enumeration date
02/22/2006
Last updated
08/02/2010
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