FAIRVIEW HEIGHTS MEDICAL GROUP SC

CARBONDALE, IL
NPI1538292370
Doing Business AsPEDIACTRIC CARDIOLOGY OF ILLINOIS
Entity TypeOrganization
Authorized ContactRAYMOND P DAVIDSON
President
314-286-2028
Organization Subpart ?No
Primary Taxonomy2080P0202X Pediatrics, Pediatric Cardiology
Enumeration Date2007-03-13
Last Update Date2008-01-07
Business Address
FAIRVIEW HEIGHTS MEDICAL GROUP SC
2601 W MAIN ST
CARBONDALE, IL 62901-1031
Phone number: 618-549-5361
Mailing Address
FAIRVIEW HEIGHTS MEDICAL GROUP SC
670 MASON RIDGE CENTER DR SUITE 300
SAINT LOUIS, MO 63141-8573
Phone number: 314-996-7644