CARDIAC THORACIC & ENDOVASCULAR THERAPIES, S.C.
NPI 1962417485
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Peoria, IL

Active since July 31, 2006
2420 W NEBRASKA AVE, PEORIA, IL 61604(309) 680-5000(309) 680-1002 Get Directions Write a Review

NPPES record last updated: January 30, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Cardiac Thoracic & Endovascular Therapies, S.c. NPPES

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

CARDIAC THORACIC & ENDOVASCULAR THERAPIES, S.C. (NPI 1962417485) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Peoria, Illinois and active in the NPI registry since July 2006. The organization lists James Bertram Williams, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1962417485
Entity TypeOrganization
Primary Taxonomy208G00000X
Legal Business NameCARDIAC THORACIC & ENDOVASCULAR THERAPIES, S.C.
Location Address2420 W NEBRASKA AVEPeoria, IL 61604-3112
Mailing Address2420 W Nebraska AvePeoria, IL 61604-3112 · (309) 680-5000 · Fax (309) 680-1002
Fax(309) 680-1002
Organization SubpartNo
Authorized OfficialJames Bertram WilliamsOwner/president · (309) 680-8666
Enumeration DateJuly 31, 2006
Last NPPES UpdateJanuary 30, 2015
NPI 1962417485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.

Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
2420 W NEBRASKA AVE, Peoria, IL 61604

Other Identifiers 7

Other7232062IL · Blue Shield Provider No
OtherDS6728IL · Retired Railroad Medicare
Medicare PIN209784IL
Medicare UPIND69276IL
OtherP00059260IL · Retired Railroad Medicare
Medicaid036099138IL
Medicare PINK09538IL

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 2

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

Thoracic Surgery (Cardiothoracic Vascular Surgery)
2420 W NEBRASKA AVE
PEORIA, IL 61604
Radiology (Vascular & Interventional Radiology)
2420 W NEBRASKA AVE
PEORIA, IL 61604

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 Cardiac Thoracic & Endovascular Therapies, S.C.'s NPI number?

The NPI number for Cardiac Thoracic & Endovascular Therapies, S.C. is 1962417485. It was assigned to this organization in the NPPES registry on July 31, 2006.

Where is Cardiac Thoracic & Endovascular Therapies, S.C. located?

Cardiac Thoracic & Endovascular Therapies, S.C. is located at 2420 W Nebraska Ave, Peoria, IL 61604. The listed phone number is (309) 680-5000.

What is Cardiac Thoracic & Endovascular Therapies, S.C.'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 Cardiac Thoracic & Endovascular Therapies, S.C. was last updated on January 30, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.