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CARDIOTHORACIC & VASCULAR SURGICAL ASSOCIATES S C NPI 1780679407


NPI Information

NPI: 1780679407
Provider Name: CARDIOTHORACIC & VASCULAR SURGICAL ASSOCIATES S C
Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Organization
Address:
4400 W 95TH ST STE 308
OAK LAWN, IL
ZIP 60453
Phone: (708) 346-4040
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CARDIOTHORACIC & VASCULAR SURGICAL ASSOCIATES S C is a thoracic surgery cardiothoracic vascular surgery in Oak Lawn, 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. CARDIOTHORACIC & VASCULAR SURGICAL ASSOCIATES S C NPI is 1780679407. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4400 W 95TH ST STE 308
OAK LAWN, IL
ZIP 60453-660
Phone: (708) 346-4040
Fax: (708) 346-3287

The provider's authorized official is Patroklos Steven Pappas .
The authorized official title is President/shareholder and has the following contact phone number (708) 346-4040.

The enumeration date for this NPI number is 9/19/2005 and was last updated on 2/19/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204F00000XTransplant SurgeryNo
22086S0129XSurgeryVascular SurgeryNo
3363AS0400XPhysician AssistantSurgicalNo
4363L00000XNurse PractitionerNo
5208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)Yes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1304044982001MEDICAIDILLINOIS
201618941OTHERILLINOISBLUE CROSS BLUE SHIELD

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: 4/28/2024

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