Organization
CARDIOTHORACIC & VASCULAR SURGEONS & ASSOC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN JOSEPH NATALE M.D. (PRESIDENT)
(847) 222-1443
Entity
Organization
Contact information
Practice address
5140 N CALIFORNIA AVE, SUITE 780, CHICAGO, IL 60625-3645
(773) 878-0148
(847) 222-1445
Mailing address
31 LAKE ADALYN DR, S BARRINGTON, IL 60010-9541
(847) 222-1443
(847) 222-1445
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
—
01636263
BLUE CROSS BLUE SHIELD
IL
01
—
K47100
MEDICARE PTAN
IL
Enumeration date
10/22/2007
Last updated
12/24/2007
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