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

Sandra Illum MD PLLC

Organization Cardiovascular Disease Physician · NPI 1144761404

Sandra Illum MD PLLC is a Cardiovascular Disease Physician in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2017.

Licensed in
TX
In the registry since
2017
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17101 Preston Rd Ste 190S
Dallas, TX 75248-1331
Phone: (214) 500-1689
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence P1086 (TX)
Medical Specialty Clinic/Center Taxonomy 261QM2500X · Licence P1086 (TX)

Record details

NPI number1144761404
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Annika Illum — Cardiologist · (214) 377-7576
Other names Advanced Heart And Vascular Center; Advanced Heart And Vascular Center
NPI enumeratedMarch 20, 2017
Last updated in NPPESJuly 21, 2022
Mailing address17101 Preston Rd, Dallas, TX 75248-1331

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