| NPI | 1023116233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE BURKART Authorized Official/Administrator 312-563-4334 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2011-02-25 |