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Contact Information

FAIRVIEW HEIGHTS MEDICAL GROUP SC
4230 LINCOLNSHIRE DR STE A
MOUNT VERNON, IL62864-2189
 Phone: 618-241-1833
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for FAIRVIEW HEIGHTS MEDICAL GROUP SC · (Female)

NPI Number 1326171158
Status Active
Credentials
Entity Individual
Enumeration date 03/13/2007
Last updated 01/07/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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