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Organization
NORTHERN ILLINOIS CARDIOVASCULAR & THORACIC SPECIALISTS,LLC
Active
Organization
NORTHERN ILLINOIS CARDIOVASCULAR & THORACIC SPECIALISTS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH D BOWERSOX MD,PHD (OWNER/MANAGING PARTNER)
(847) 788-1553
Entity
Organization
Contact information
Practice address
880 W CENTRAL RD, SUITE 5300, ARLINGTON HEIGHTS, IL 60005-2355
(847) 788-1553
(847) 788-1585
Mailing address
1100 W CENTRAL RD, SUITE 408, ARLINGTON HEIGHTS, IL 60005-2402
(847) 788-1553
(847) 788-1585
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
NULL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
04/24/2006
Last updated
08/22/2020
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