NPI 1669474870

Keith David Bowersox, MDPHD

Practitioner Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Elk Grove Village, IL

Practice location

Address: 800 Biesterfield Rd Suite 4005, Elk Grove Village, IL 60007-3361
Phone: (847) 593-4116
Fax: (847) 593-4135
Mailing address: 4400 W 95th St STE 308, Oak Lawn, IL 60453-2660

Registered specialties

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208G00000X Licence 036078229 (IL)

Other Thoracic Surgery (Cardiothoracic Vascular Surgery) providers in Illinois →

Registry record

NPI: 1669474870
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jun 2005
Record last updated: 15 Dec 2021

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.