Organization
CARDIOTHORACIC & VASCULAR SURGICAL ASSOCIATES S C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATROKLOS STEVEN PAPPAS M.D. (PRESIDENT/SHAREHOLDER)
(708) 346-4040
Entity
Organization
Contact information
Practice address
4400 W 95TH ST STE 308, OAK LAWN, IL 60453-2660
(708) 346-4040
(708) 346-3287
Mailing address
1901 S MEYERS RD STE 158, OAKBROOK TERRACE, IL 60181-5278
(708) 346-4044
(708) 346-3287
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01618941
BLUE CROSS BLUE SHIELD
IL
05
—
304044982001
—
IL
Enumeration date
09/19/2005
Last updated
11/06/2024
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