CARDIOTHORACIC ENDOSCOPIC SURGICAL NPI 1750673828

NPI Information

NPI: 1750673828
Provider Name: CARDIOTHORACIC ENDOSCOPIC SURGICAL
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
800 BIESTERFIELD ROAD
ELK GROVE VILLAGE, IL
ZIP 60007
Phone: (847) 437-5500
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CARDIOTHORACIC ENDOSCOPIC SURGICAL is a surgical physician assistant in Elk Grove Village, IL. CARDIOTHORACIC ENDOSCOPIC SURGICAL NPI is 1750673828. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

800 BIESTERFIELD ROAD
ELK GROVE VILLAGE, IL
ZIP 60007-397
Phone: (847) 437-5500

The provider's authorized official is Alan S Panares .
The authorized official title is Ceo and has the following contact phone number (312) 593-0824.

The enumeration date for this NPI number is 5/9/2011 and was last updated on 5/9/2011.

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
1	363AS0400X	Physician Assistant	Surgical	238.000082	ILLINOIS	Yes

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: 11/14/2023

NPI Synchronization or Removal

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