Active NPI
Cardiothoracic Endoscopic Surgical
- Surgical Physician Assistant
- Elk Grove Village, IL
National Provider Identifier
1750673828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 238.000082
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Alan S Panares, CSA
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Surgical Assistant
- Hoffman Estates, IL
- NPI 1760692347
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.