Organization
CHICAGO CARDIOVASCULAR THORACIC SURGICAL SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL T KRONON MD (PRESIDENT)
(773) 588-0550
Entity
Organization
Contact information
Practice address
1044 N FRANCISCO AVE, CHICAGO, IL 60622-2743
(773) 292-8388
(773) 539-1241
Mailing address
3937 N TROY ST, CHICAGO, IL 60618-3407
(773) 588-0550
(773) 539-1241
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1628678
BCBS
IL
Enumeration date
09/19/2008
Last updated
03/12/2009
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