CTVSA WISCONSIN S.C.

KENOSHA, WI
NPI1225318090
Entity TypeOrganization
Authorized ContactPATROKLOS STEVEN PAPPAS
President
708-346-4040
Organization Subpart ?No
Primary Taxonomy208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
Additional Taxonomies2086S0129X Surgery Vascular Surgery
Enumeration Date2011-08-24
Last Update Date2011-08-24
Business Address
CTVSA WISCONSIN S.C.
6308 8TH AVE SUITE 3060
KENOSHA, WI 53143-5031
Phone number: 262-656-2700
Mailing Address
CTVSA WISCONSIN S.C.
4400 W 95TH ST SUITE 205
OAK LAWN, IL 60453-2654
Phone number: 708-346-4040