OrganizationActive
Sandra Illum MD PLLC
NPI 1144761404 · Cardiovascular Disease Physician · Dallas, TX
Provider details
- NPI number
- 1144761404
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Annika Illum, Cardiologist(214) 377-7576
- License
- P1086 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Ambulatory Health Care Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
17101 Preston Rd Ste 190s
Dallas, TX 75248-1331
Phone: (214) 500-1689
Street-level locationGet directions
Mailing address
17101 Preston Rd
Dallas, TX 75248-1331
Other names (DBA / former)
- Doing business as
- Advanced Heart and Vascular Center
- Doing business as
- Advanced Heart and Vascular Center
Registry dates
- Enumerated
- 2017-03-20
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.