NPI 1225318090
Ctvsa Wisconsin S.C.
Practice location
- Address
- 6308 8th Ave Suite 3060, Kenosha, WI 53143-5031
- Phone
- (262) 656-2700
- Fax
- (262) 656-3672
- Mailing address
- 4400 W 95th St Suite 205, Oak Lawn, IL 60453-2654
Authorised official
- Name
- Patroklos Steven Pappas
- Title
- President
- Phone
- (708) 346-4040
Registered specialties (2)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
Vascular Surgery Physician
Registry record
- NPI
- 1225318090
- Entity type
- Organization
- NPI issued
- 24 Aug 2011
- Record last updated
- 24 Aug 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.