Individual
TAKEYOSHI OTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(888) 824-0200
Mailing address
150 HARVESTER DR, SUITE 300, BURR RIDGE, IL 60527-5919
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036133284
IL
Other
Enumeration date
06/12/2008
Last updated
02/13/2025
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