| NPI | 1215825138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN THOMAS Director Of Payer Contracting 224-285-6266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology |
| 207RI0011X Internal Medicine, Interventional Cardiology | |
| 2086S0129X | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| Enumeration Date | 2025-06-27 |
| Last Update Date | 2025-06-27 |