National Provider Identifier Database

FAIRVIEW HEIGHTS MEDICAL GROUP SC
Pediatric Cardiology

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.


Contact Information

FAIRVIEW HEIGHTS MEDICAL GROUP SC
11TH AND BROADWAY
4TH FLOOR
QUINCY, IL62301
Phone: 217-223-5811
Fax:
Website:
Specialty Taxonomy Code
* Pediatric Cardiology 2080P0202X

* Indicates primary specialty

NPI Profile & details for FAIRVIEW HEIGHTS MEDICAL GROUP SC

NPI Number 1487787818
Legal business name
LBN
FAIRVIEW HEIGHTS MEDICAL GROUP SC
Authorized official RAYMOND DAVIDSON - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 03/14/2007
Last updated 01/07/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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