Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Advanced Cardiovascular Services

Organization Cardiovascular Disease Physician · NPI 1447454657

Advanced Cardiovascular Services provides Cardiovascular Disease Physician services in Kankakee, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007

Practice location Address checks out

455 W Court St Ste 202
Kankakee, IL 60441 Not confirmed with CMS for 18 years — call before visiting
Phone: (805) 936-3200
Fax: (815) 936-3203
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X (IL)

Record details

NPI number1447454657
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pat Devries — Billing Manager · (708) 460-5000
Other names Dr. Mario Massullo
NPI enumeratedJune 12, 2007
Last updated in NPPESJune 12, 2008
Mailing addressPo Box 882, Kankakee, IL 60901-0882

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