THORACIC SURGICAL ASSOCIATES LLC NPI 1225528979

NPI Information

  • NPI: 1225528979
  • Provider Name: THORACIC SURGICAL ASSOCIATES, LLC
  • Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
  • Entity Type: Organization
  • Address: 10604 SOUTHWEST HIGHWAY
    SUITE 101
    CHICAGO RIDGE, IL
    ZIP 60415
  • Phone: (708) 346-4065

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NPI Details

THORACIC SURGICAL ASSOCIATES, LLC is a thoracic surgery cardiothoracic vascular surgery in Chicago Ridge, IL. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. THORACIC SURGICAL ASSOCIATES, LLC NPI is 1225528979. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10604 SOUTHWEST HIGHWAY
SUITE 101
CHICAGO RIDGE, IL
ZIP 60415
Phone: (708) 346-4065
Fax: (708) 423-5799

The provider's authorized official is Paul Gordon .
The authorized official title is President and has the following contact phone number (708) 346-4065.

The enumeration date for this NPI number is 5/17/2018 and was last updated on 5/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)PENDINGILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PENDINGOTHERILLINOISIL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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