# CARDIOTHORACIC & VASCULAR SURGICAL ASSOCIATES S C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780679407
- **Authorized official:** DR. PATROKLOS STEVEN PAPPAS M.D. (PRESIDENT/SHAREHOLDER)
- **Authorized official phone:** (708) 346-4040

## Contact information

- **Practice address:** 4400 W 95TH ST STE 308, OAK LAWN, IL 60453-2660
- **Practice address phone:** (708) 346-4040
- **Practice address fax:** (708) 346-3287
- **Mailing address:** 1901 S MEYERS RD STE 158, OAKBROOK TERRACE, IL 60181-5278
- **Mailing address phone:** (708) 346-4044
- **Mailing address fax:** (708) 346-3287

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204F00000X | Transplant Surgery Physician | — | NULL | — |
| 204F00000X | Transplant Surgery Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | — |
| 2086S0129X | Vascular Surgery Physician | — | — | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |
| 363AS0400X | Surgical Physician Assistant | — | NULL | — |
| 363AS0400X | Surgical Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/19/2005
- **Last updated:** 11/06/2024