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Contact Information

PEDIATRIC CARDIOLOGY ASSOCIATES SC
420 NE GLEN OAK AVE
SUITE 304
PEORIA, IL61603-3105
 Phone: 309-655-3453
 Fax: 309-655-3410
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PEDIATRIC CARDIOLOGY ASSOCIATES SC

NPI Number 1205863578
LBN Legal business name PEDIATRIC CARDIOLOGY ASSOCIATES SC
Authorized official DOUGLAS SCHNEIDER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/26/2006
Last updated 07/21/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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