OrganizationActive
Ca Group, LLC
NPI 1619327376 · Clinical Cardiac Electrophysiology Physician · Shiloh, IL
Provider details
- NPI number
- 1619327376
- Entity type
- Organization
- Primary specialty
- Clinical Cardiac Electrophysiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- James Davis, Executive Director(618) 257-4644
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
- Interventional Cardiology Physician207RI0011X
Allopathic & Osteopathic Physicians
Practice location
1404 Cross St
Suite 2940
Shiloh, IL 62269-2988
Phone: (618) 607-3700
Fax: (618) 624-4841
Approximate (ZIP-level) locationGet directions
Mailing address
4500 Memorial Drive
Belleville, IL 62226
Registry dates
- Enumerated
- 2016-06-14
- Last updated
- 2016-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.