| NPI | 1477815439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH O ROPER Owner 773-947-7730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2012-06-14 |