| NPI | 1437555836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMID H JAVADI President 224-619-4937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA C55150) |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2015-03-13 |