Organization
HEARTLAND INTERNAL MEDICINE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIMIN CAO (PRESIDENT)
(618) 998-9910
Entity
Organization
Contact information
Practice address
404 LINCOLN DR, HERRIN, IL 62948-3757
(618) 559-6549
Mailing address
3024 150TH PL, FLUSHING, NY 11354-2423
(618) 559-6549
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036110159
—
IL
Enumeration date
10/11/2006
Last updated
08/26/2013
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