| NPI | 1538292370 |
|---|---|
| Doing Business As | PEDIACTRIC CARDIOLOGY OF ILLINOIS |
| Entity Type | Organization |
| Authorized Contact | RAYMOND P DAVIDSON President 314-286-2028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2008-01-07 |