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Individual

MR. HIROTO KITAHARA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5841 S. MARYLAND AVENUE M/C6040, CHICAGO, IL 60637
(773) 702-3554
Mailing address
180 HARVESTER DRIVE, SUITE 110, BURR RIDGE, BURR RIDGE, IL 60527
(773) 702-1150

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036147730
IL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
125069403
IL

Other

Enumeration date
09/15/2016
Last updated
08/08/2025
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