OrganizationActive
Fairview Heights Medical Group Sc
NPI 1487787818 · Pediatric Cardiology Physician · Quincy, IL
Provider details
- NPI number
- 1487787818
- Entity type
- Organization
- Primary specialty
- Pediatric Cardiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Raymond Davidson, President(314) 286-2028
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
11th and Broadway
4th Floor
Quincy, IL 62301
Phone: (217) 223-5811
Approximate (ZIP-level) locationGet directions
Mailing address
670 Mason Ridge Center Dr
Saint Louis, MO 63141-8573
Other names (DBA / former)
- Doing business as
- Pediatric Cardiology of Illinois
Registry dates
- Enumerated
- 2007-03-14
- Last updated
- 2008-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.