Organization Active NPI

Cardiothoracic Endoscopic Surgical

  • Surgical Physician Assistant
  • Elk Grove Village, IL
National Provider Identifier
1750673828
Registry record updated May 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
238.000082 Issued in IL
Legal business name
CARDIOTHORACIC ENDOSCOPIC SURGICAL
Practice address
800 Biesterfield Road
Elk Grove Village, IL 60007-3397
Phone
(847) 437-5500
NPI assigned
May 9, 2011
Last updated
May 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Alan S Panares, CSANPI 1760692347
Title
Ceo
Phone
(312) 593-0824

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 238.000082 IL Primary

Addresses

Primary practice location

800 Biesterfield Road
Elk Grove Village, IL 60007-3397

Mailing address

4717 W. Pensacola Ave.
Chicago, IL 60641-1683
Phone (312) 593-0824

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304899200000",
    "number": "1750673828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4717 W. PENSACOLA AVE.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606411683",
            "telephone_number": "312-593-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD ROAD",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073397",
            "telephone_number": "847-437-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOTHORACIC ENDOSCOPIC SURGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-09",
        "last_updated": "2011-05-09",
        "status": "A",
        "authorized_official_last_name": "PANARES",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-593-0824",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CSA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IL",
            "license": "238.000082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove Village, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.