Organization
CVT SURGEONS, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOAO GABRIEL UBATUBA M.D. (PRESIDENT)
(630) 516-9120
Entity
Organization
Contact information
Practice address
1200 S YORK RD, SUITE 3290, ELMHURST, IL 60126-5626
(630) 516-9120
(630) 516-9124
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
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01616966
BCBS PROVIDER ID
IL
01
—
CF1137
RAILROAD MEDICARE
IL
Enumeration date
04/25/2007
Last updated
12/27/2007
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