Organization
SOUTHWEST CARDIOVASCULAR CONSULTANTS,SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS M. KILLIAN M.D. (PRESIDENT)
(815) 740-1900
Entity
Organization
Contact information
Practice address
2801 BLACK RD, SUITE A, JOLIET, IL 60435-2929
(815) 740-1100
(815) 725-2413
Mailing address
2801 BLACK RD, SUITE A, JOLIET, IL 60435-2929
(815) 740-1900
(815) 725-2413
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
042007380
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
211929
MEDICARE GROUP NUMBER
IL
Enumeration date
05/09/2006
Last updated
02/11/2014
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