| NPI | 1700842390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH D BOWERSOX Owner/Managing Partner 847-788-1553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2020-08-22 |