| NPI | 1225528979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL GORDON President 708-346-4065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IL PENDING) |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2018-05-17 |