Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cardiac Thoracic & Endovascular Therapies, SC

Organization Vascular Surgery Physician · NPI 1962417485

Cardiac Thoracic & Endovascular Therapies, SC is a Vascular Surgery Physician in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
Specialties on file
2

Practice location Address checks out

2420 W Nebraska Ave
Peoria, IL 61604-3112
Phone: (309) 680-5000
Fax: (309) 680-1002
Show map & directions

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

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X (IL)
Vascular Surgery Physician Taxonomy 2086S0129X (IL)

Record details

NPI number1962417485
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Williams — Owner/President · (309) 680-8666
NPI enumeratedJuly 31, 2006
Last updated in NPPESJanuary 30, 2015
Mailing address2420 W Nebraska Ave, Peoria, IL 61604-3112

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