Whalio Doctors

NPI 1558788539

Ricardo Andres Siller de La Rosa, MD

Practitioner Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Carbondale, IL

Practice location

Address
305 W Jackson St STE 206, Carbondale, IL 62901-1474
Phone
(618) 457-3006
Fax
(618) 457-3007
Mailing address
2929 California Plz APT 7123, Omaha, NE 68131-1590

Registered specialties (2)

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208G00000X Licence 1558788539 (IL)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

Registry record

NPI
1558788539
Entity type
Individual
Sex (as registered)
Male
NPI issued
27 Mar 2014
Record last updated
10 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.