NORTHERN ILLINOIS CARDIOVASCULAR & THORACIC SPECIALISTS,LLC (NPI# 1700842390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700842390 |
| Entity Type | Organization |
| Organization Name | NORTHERN ILLINOIS CARDIOVASCULAR & THORACIC SPECIALISTS,LLC |
| Practice Address |
880 W Central Rd Suite 5300 Arlington Heights IL 60005-2355 |
| Mailing Address |
1100 W Central Rd Suite 408 Arlington Heights IL 60005-2402 |
| Practice Telephone | 8477881553 |
| Practice Fax Number | 8477881585 |
| Mailing Telephone | 8477881553 |
| Mailing Fax Number | 8477881585 |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. KEITH D BOWERSOX (OWNER/MANAGING PARTNER) |
| Authorized Official Telephone | 8477881553 |
| Authorized Official Credential | MD,PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians |
| Street Address |
880 W CENTRAL RD SUITE 5300 |
| City | ARLINGTON HEIGHTS |
| State | IL |
| Zip Code | 60005-2355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063418564 | Henry Rabinowitz | Specialist | 880 W Central Rd, Ste 7200, Arlington Heights, IL 60005-2382 | 2005-06-21 |
| 1780141481 | Elizabeth C Goodall | Physician Assistant | 880 W Central Rd, Arlington Heights, IL 60005-2355 | 2019-02-28 |
| 1710430392 | Martina Lomibao Santiago | Registered Nurse | 880 W Central Rd, Suite 4500, Arlington Heights, IL 60005-2355 | 2016-07-29 |
| 1851748248 | Hector Xavier Martinez | Physician Assistant | 880 W Central Rd, Suite 5000, Arlington Heights, IL 60005-2355 | 2016-05-16 |
| 1578938338 | Heather L Lee | Nurse Practitioner | 880 W Central Rd, Suite 8200, Arlington Heights, IL 60005-2355 | 2015-12-04 |
| 1568836070 | Illinois Cancer Specialists | Nurse Practitioner | 880 W Central Rd, Suite 8200, Arlington Heights, IL 60005-2355 | 2015-11-20 |
| 1063800951 | Stephanie Fox | Physician Assistant | 880 W Central Rd, #5000, Arlington Heights, IL 60005-2355 | 2014-12-31 |
| 1295164077 | Cindy Ludovico | Nurse Practitioner | 880 W Central Rd, Ste 8200, Arlington Heights, IL 60005-2355 | 2013-11-02 |
| 1255776209 | Lauren E Moss | Audiologist | 880 W Central Rd, Suite 4300, Arlington Heights, IL 60005-2355 | 2013-05-03 |
| 1578809604 | Amelia Louise Falat | Physician Assistant | 880 W Central Rd, Suite 5200, Arlington Heights, IL 60005-2355 | 2012-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033673330 | Salario Senior Care, Inc. | In Home Supportive Care | 1020 S. Arlington Heights Road Ste 1 Nw, Arlington Heights, IL 60005 | 2019-01-31 |
| 1265922355 | Kathy Pawlusiewicz Dds. Dba Prospect Dental | Dentist | 1120 E. Central Rd., Arlington Heights, IL 60005 | 2018-05-14 |
| 1316437890 | Darcy L Marr | Orthopaedic Surgery | 3030 Salt Creek Lane, Suite 100, Arlington Heights, IL 60005 | 2018-05-10 |
| 1679076269 | Patrick O'neill | Specialist/Technologist | 1115 W Francis Dr, Arlington Hts, IL 60005 | 2018-03-09 |
| 1326556861 | Danielle Marie Frye Hughes | Chiropractor | 825 E Golf Rd Ste 1147, Arlington Heights, IL 60005 | 2018-01-18 |
| 1568977890 | Nicole L Pollard | Counselor | 121 New Wilke Road, Suite 101, Arlington Heights, IL 60005 | 2017-12-08 |
| 1477062701 | New Family Dental | Dentist | 1768 W Algonqun Rd, Arlington Heights, IL 60005 | 2017-09-29 |
| 1346775715 | Laura Marie Ipjian | Counselor | 121 S Wilke Rd Ste 232, Arlington Heights, IL 60005 | 2017-04-24 |
| 1285051615 | Christopher Colby | Student in an Organized Health Care Education/Training Program | 1600 W. Cnetral Rd., Arlington Heights, IL 60005 | 2014-03-24 |
| 1497181697 | Legacy Medical Care Inc | Clinic/Center | 121 S. Wilke Rd, Suite 600, Arlington Heights, IL 60005 | 2013-09-19 |
| Find all providers in zip 60005 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083807473 | Ali N. Shariatzadeh, M.d..,s.c. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 880 W Central Rd, Suite 5500, Arlington Heights, IL 60005-2355 | 2007-08-20 |
| 1962446708 | Ali Najafi Shariatzadeh | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 880 W Central Rd, 5500 Suite, Arlington Heights, IL 60005-2355 | 2006-06-15 |
| 1588625677 | Vu T Hoang | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 880 W Central Rd, Suite 3300, Arlington Heights, IL 60005-2355 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205363041 | Sachowdhry | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 S Summit Ave, Oakbrook Terrace, IL 60181-2212 | 2017-05-11 |
| 1760930028 | Hiroto Kitahara | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5841 S. Maryland Avenue M/c6040, Chicago, IL 60637 | 2016-09-15 |
| 1720440282 | Azad Karim | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 441 E Erie St Apt 1803441, Chicago, IL 60611-4446 | 2016-03-24 |
| 1982002838 | Milton Weinberg Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 983 Kirkhill Ln, Lake Forest, IL 60045-4209 | 2014-12-09 |
| 1235557190 | Bartlomiej Imielski | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 201 E. Huron St., Galter 11-140, Chicago, IL 60611 | 2014-03-28 |
| 1841635869 | Aaron Maxwell Kime | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 133 E Brush Hill Rd Ste 200, Elmhurst, IL 60126-5661 | 2013-05-03 |
| 1952744823 | Walter Lee Barker | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2912 N. Commonwealth Ave., #11c, Chicago, IL 60657-6235 | 2013-04-10 |
| 1952641649 | Willard A Fry | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1500 Sheridan Rd, #10e, Wilmette, IL 60091-1873 | 2013-02-18 |
| 1487903092 | Horizons In Healthcare LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 372 Red Bud Ct., Frankfort, IL 60423-2128 | 2012-08-29 |
| 1518215284 | Paul Naffah | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6161 So County Line Rd, Burr Ridge, IL 60527 | 2012-08-28 |
| Find all providers with the same taxonomy | ||||
| City | ARLINGTON HEIGHTS |
| Zip Code | 60005 |
Please comment or provide details below to improve the information on NORTHERN ILLINOIS CARDIOVASCULAR & THORACIC SPECIALISTS,LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.