Doctor Name: | DR. JEANNE MARIE KAIROUZ |
NPI Number: | 1003846908 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 0101245153 |
Business Practice Address: | 1800 E Lake Shore Dr Decatur, IL - 625213810 |
Business Phone Number: | 2174226100 |
Business Fax Number: | 2174227897 |
Mailing Address: | 1800 E Lake Shore Dr, DECATUR |
State: | IL |
Postal Code: | 625213810 |
Phone Number: | 2174226100 |
Fax Number: | 2174227897 |
NPI Enumeration Date: | 07/04/2006 |
NPI Last Update Date: | 12/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | 0101245153 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |