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Pediatric Heart Surgery Associates, LLC

Thoracic Surgery (Cardiothoracic Vascular Surgery) in Wood Dale, IL. Organization (NPI-2).

NPI number1114166295
StatusActive
Last updated in NPPESFeb 12, 2009

Details

NPI
1114166295
Entity type
Organization (NPI-2)
Legal business name
Pediatric Heart Surgery Associates, LLC
Organization subpart
No
Enumeration date
Feb 12, 2009
Last updated
Feb 12, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)036-099190ILYes

Practice location

311 N Walnut Ave
Suite 100
Wood Dale, IL 60191-1566

Phone 630-860-0035 · Fax 630-860-5262

Mailing address

6547 N Avondale Ave
#001
Chicago, IL 60631-1573

Phone 773-775-1622 · Fax 773-775-1693

Authorized official

Hani A Hennein
President
6308600035

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Other Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician providers in Wood Dale, IL

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