Keith David Bowersox in Elk Grove Village - Thoracic Surgery (cardiothoracic Vascular Surgery)
Keith David Bowersox - NPI 1669474870
Keith David Bowersox is a Thoracic Surgery (cardiothoracic Vascular Surgery) in Elk Grove Village, Illinois. Keith David Bowersox practices all healthcare services and medical treatments related to Thoracic Surgery (cardiothoracic Vascular Surgery). The NPI Number for Keith David Bowersox is 1669474870. The last update date is 2021-12-15.
Keith David Bowersox's current location address is 800 Biesterfield Rd, Elk Grove Village, Illinois. You can contact this provider via phone number 8475934116 and fax number 8475934135. The mailing address for Keith David Bowersox is 800 Biesterfield Rd, Elk Grove Village, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith David Bowersox |
|---|---|
| Address | 800 Biesterfield Rd, Elk Grove Village, Illinois |
| Phone Number | 8475934116 |
| Fax Number | 8475934135 |
| Sole Proprietor | N |
| Credentials | M.D, PHD |
NPI Number Detail
| NPI Number | 1669474870 |
|---|---|
| Provider Enumeration Date | 2005-06-01 |
| Last Updated Date | 2021-12-15 |
Provider Mailing Address Detail
| Address | 800 Biesterfield Rd |
|---|---|
| City | Elk Grove Village |
| State | Illinois (IL) |
| Post Code | 6000733610 |
| Phone Number | 8475934116 |
| Fax Number | 8475934135 |
Provider's Primary Taxonomy Detail
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
|---|---|
| Taxonomy | 208G00000X |
| Licence No | 36078229 |
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Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36078229 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Keith David Bowersox by the Centers for Medicare & Medicaid Services?
The Keith David Bowersox has been issued the NPI (National Provider Identifier) 1669474870, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Keith David Bowersox is physically located?
The Keith David Bowersox is situated at the following address: 800 Biesterfield Rd, Elk Grove Village, IL 6000733610.
What is Keith David Bowersox's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Keith David Bowersox is Thoracic Surgery (cardiothoracic Vascular Surgery), and the taxonomy code that classifies this field of practice is 208G00000X.
When was the Keith David Bowersox's 1669474870 issued?
The Keith David Bowersox's 1669474870 was issued on 2005-06-01.
When was the information regarding Keith David Bowersox most recently updated?
The details pertaining to the Keith David Bowersox, including its address, specialty, and other relevant information, were last refreshed on 2021-12-15.