ILLINOIS CARDIAC SURGERY ASSOCIATES SC
NPI 1114018439
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Peoria, IL

Active since September 28, 2006
515 NE GLEN OAK, SUITE 105, PEORIA, IL 61603(309) 674-2002(309) 624-9898 Get Directions Write a Review

NPPES record last updated: May 6, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Illinois Cardiac Surgery Associates Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ILLINOIS CARDIAC SURGERY ASSOCIATES SC (NPI 1114018439) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Peoria, Illinois and active in the NPI registry since September 2006. The organization lists Dale M Geiss, President, as its authorized official.

NPPES Registry Identity

NPI1114018439
Entity TypeOrganization
Primary Taxonomy208G00000X
Legal Business NameILLINOIS CARDIAC SURGERY ASSOCIATES SC
Location Address515 NE GLEN OAK, SUITE 105Peoria, IL 61603-3167
Mailing Address515 Ne Glen Oak, Suite 105Peoria, IL 61603-3167 · (309) 674-2002 · Fax (309) 624-9898
Fax(309) 624-9898
Organization SubpartNo
Authorized OfficialDale M GeissPresident · (309) 674-2002
Enumeration DateSeptember 28, 2006
Last NPPES UpdateMay 6, 2014
NPI 1114018439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
515 NE GLEN OAK, Peoria, IL 61603

Other Identifiers 2

Other07215075IL · Blue Sheild
Medicare ID-Type Unspecified718050IL · Group

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
515 NE GLEN OAK, SUITE 105
PEORIA, IL 61603

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Illinois Cardiac Surgery Associates Sc's NPI number?

The NPI number for Illinois Cardiac Surgery Associates Sc is 1114018439. It was assigned to this organization in the NPPES registry on September 28, 2006.

Where is Illinois Cardiac Surgery Associates Sc located?

Illinois Cardiac Surgery Associates Sc is located at 515 NE Glen Oak Suite 105, Peoria, IL 61603. The listed phone number is (309) 674-2002.

What is Illinois Cardiac Surgery Associates Sc's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

When was this NPI record last updated?

The NPPES record for Illinois Cardiac Surgery Associates Sc was last updated on May 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.