Elgin Cardiac Surgery SC

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

042-005785 Issued in IL

Legal business name

ELGIN CARDIAC SURGERY SC

Doing business as

Vein and Laser Center of Elgin Cardiac Surgery

Practice address

1600 N Randall Rd Ste 355
Elgin, IL 60123-7805

Phone

(847) 717-3265

Fax

(847) 695-1954

NPI assigned

Aug 31, 2006

Last updated

Apr 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jon Steimle, MBA

Title

Office Manager

Phone

(847) 717-3265

Specialties & licenses 1

Addresses

Other names 1

• Vein and Laser Center of Elgin Cardiac Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Tax ID family

Elgin Cardiac Surgery2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Elgin Cardiac Surgery, S.C.

  dba Northern Illinois Cardiothoracic and Vascular Surgery, S.C.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Elgin, IL
  • NPI 1235264672
  NPD tax ID

Locations

Practitioners 4

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.

• Cynthia N Steimle, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Elgin, IL
  • NPI 1285699512
  Medicare reassignment NPD
• Cosmin Dobrescu, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Chicago, IL
  • NPI 1194773754
  NPD (past)
• Vu T Hoang, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Arlington Heights, IL
  • NPI 1588625677
  NPD (past)
• Timothy Watkins James, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Tacoma, WA
  • NPI 1679538847
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1972614246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N RANDALL RD STE 355",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601237805",
            "telephone_number": "847-717-3265",
            "fax_number": "847-695-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N RANDALL RD STE 355",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601237805",
            "telephone_number": "847-717-3265",
            "fax_number": "847-695-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELGIN CARDIAC SURGERY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "STEIMLE",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-717-3265",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IL",
            "license": "042-005785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vein and Laser Center of Elgin Cardiac Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jawed Ehsan, MD
• Kate Eischen, MPH
• Jennifer Eklund, M.D.
• Haytham Eleissawy, PHARMD
• Elgin Amazing Dental LLC
• Elgin Cardiac Surgery, S.C. (Northern Illinois Cardiothoracic and Vascular Surgery, S.C.)
• Elgin Cardiovascular LTD
• Elgin Care Center SC
• Elgin Center Pharmacy Inc (Elgin Center Pharmacy)
• Elgin Charter School Initiative LLC (Elgin Math and Science Academy)

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Elgin, IL
• Providers in Elgin, IL by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.