# ILLINOIS CARDIOTHORACIC SURGEONS, LLC

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

## Provider details

- **NPI number:** 1992933527
- **Authorized official:** DR. STEPHEN F LAGA MD (PRESIDENT)
- **Authorized official phone:** 16304082977

## Contact information

- **Practice address:** 1111 SUPERIOR ST, STE. 405, MELROSE PARK, IL 60160-4138
- **Practice address phone:** (163) 040-8297
- **Practice address fax:** (184) 745-5041
- **Mailing address:** 1111 SUPERIOR ST, STE. 405, MELROSE PARK, IL 60160-4138
- **Mailing address phone:** (163) 040-8297
- **Mailing address fax:** (184) 745-5041

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/22/2009
- **Last updated:** 06/22/2009