Organization
CARDIOVASCULAR SURGEONS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHEL ILBAWI MD (PRESIDENT)
(312) 787-7901
Entity
Organization
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(312) 787-7901
(312) 787-7903
Mailing address
777 OAKMONT LN, SUITE 1600, WESTMONT, IL 60559-5511
(630) 789-2550
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100397430A
—
IN
01
—
1618327
BCBS PROVIDER ID
IL
Enumeration date
11/01/2006
Last updated
04/21/2008
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