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KEITH DAVID BOWERSOX M.D, PhD, NPI 1669474870

Thoracic Surgery (Cardiothoracic Vascular Surgery) in ELK GROVE VILLAGE, IL

Last Updated on : Dec 15,2021

About KEITH DAVID BOWERSOX (NPI 1669474870)


KEITH DAVID BOWERSOX is a Thoracic Surgery (Cardiothoracic Vascular Surgery) provider in ELK GROVE VILLAGE, United States. His medical specialization is Thoracic Surgery (Cardiothoracic Vascular Surgery) .

1669474870 is NPI number of KEITH DAVID BOWERSOX.

KEITH DAVID BOWERSOX's primary taxonomy code based on NPI Lookup is 208G00000X with license number 036078229. This taxonomy code refers to Thoracic Surgery (Cardiothoracic Vascular Surgery).

KEITH DAVID BOWERSOX has more than 16 years of experience.

KEITH DAVID BOWERSOX current practice location address is 800 BIESTERFIELD RD, ELK GROVE VILLAGE, IL. KEITH DAVID BOWERSOX can be reached out via phone at 847-593-4116 and via fax at 847-593-4135 .

You can also correspond with KEITH DAVID BOWERSOX through mail at mailing address 4400 W 95TH ST STE 308, OAK LAWN, IL, United States. Mailing address contact number is 708-346-4040.

The enumeration date of KEITH DAVID BOWERSOX is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 1 years ago.

1669474870 NPI Information

Name KEITH DAVID BOWERSOX
National Provider Id (NPI) 1669474870
Entity Type Individual
Gender M
Credential M.D, PhD
Practice Address 800 BIESTERFIELD RD, SUITE 4005
ELK GROVE VILLAGE, IL, United States
Practice Telephone 847-593-4116
Practice Fax Number 847-593-4135
Mailing Address 4400 W 95TH ST STE 308 ,
OAK LAWN, IL, United States
Mailing Telephone 708-346-4040
Mailing Fax Number 708-346-3287
Enumeration Date 01-Jun-2005
Last Updated Date 15-Dec-2021

KEITH DAVID BOWERSOX (NPI 1669474870) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) 036078229 IL

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
F400135591 MEDICARE PIN (08) IL
036078229 MEDICAID (05) IL
E18563 MEDICARE UPIN (02) IL
F400135587 MEDICARE PIN (08) IL
R00262 MEDICARE PIN (08) IL

KEITH DAVID BOWERSOX (NPI 1669474870) Office Location

Providers in same location

NPI Name Taxonomy Address Enumeration date
1548327562 CAROL HEIDMANN Anesthesiology 800 BIESTERFIELD RD, DEPT OF ANESTHESIA
ELK GROVE VILLAGE, IL, United States
02-Jan-2007
1326105347 JEEJY KALATHIVEETIL Anesthesiology 800 BIESTERFIELD RD, DEPT OF ANESTHESIA
ELK GROVE VILLAGE, IL, United States
02-Jan-2007
1023175056 EDGARD KHOURY Anesthesiology 800 BIESTERFIELD RD, DEPT OF ANESTHESIA
ELK GROVE VILLAGE, IL, United States
02-Jan-2007
1770640724 PREDRAG KONSTANTINOVIC Anesthesiology 800 BIESTERFIELD RD, DEPT OF ANESTHESIA
ELK GROVE VILLAGE, IL, United States
02-Jan-2007
1023175023 JUNE LEE Anesthesiology 800 BIESTERFIELD RD, DEPT OF ANESTHESIA
ELK GROVE VILLAGE, IL, United States
02-Jan-2007
1962569806 DAVID MADDEN Anesthesiology 800 BIESTERFIELD RD, DEPT OF ANESTHESIA
ELK GROVE VILLAGE, IL, United States
02-Jan-2007
1639236573 WANDA MAZUREK Anesthesiology 800 BIESTERFIELD RD, DEPT OF ANESTHESIA
ELK GROVE VILLAGE, IL, United States
02-Jan-2007
1093872822 MIHAIL NIKOLOV Anesthesiology 800 BIESTERFIELD RD, DEPT OF ANESTHESIA
ELK GROVE VILLAGE, IL, United States
02-Jan-2007
1548327323 GREGORY PORTER Anesthesiology 800 BIESTERFIELD RD, DEPT OF ANESTHESIA
ELK GROVE VILLAGE, IL, United States
02-Jan-2007
1588721369 PAUL TERNA Anesthesiology 800 BIESTERFIELD RD, DEPT OF ANESTHESIA
ELK GROVE VILLAGE, IL, United States
02-Jan-2007
1093793754 ROMEO OCANA CENIZA Physical Therapist 638 DOVER DR,
ELGIN, IL, United States
04-Jan-2006
1194872184 PATRICIA STRATELAK Nurse Anesthetist, Certified Registered 800 BIESTERFIELD RD, DEPT OF ANESTHESIA
ELK GROVE VILLAGE, IL, United States
04-Jan-2007
1760980957 MAGDALENA MARIA TIPTON Nurse Practitioner, Family 126 BIESTERFIELD RD,
ELK GROVE VILLAGE, IL, United States
23-Jan-2018
1760752893 EWA J SZCZECH Physical Therapist 699 SCHOONER LN,
ELK GROVE VILLAGE, IL, United States
05-Jan-2012
1952389959 KEVIN MICHAEL O'SULLIVAN Specialist/Technologist, Athletic Trainer 448 N STARK DR,
PALATINE, IL, United States
09-Jan-2006
1922496355 SOUL FRIENDS COUNSELING SERVICES Community/Behavioral Health 787 PENRITH AVE,
ELK GROVE VILLAGE, IL, United States
08-Jan-2015
1992854269 ANTONIA MOURELATOS Optometrist 918 HUNTINGTON DR,
ELK GROVE VILLAGE, IL, United States
09-Jan-2007
1962749887 STEPHANIE A PADLEY Nurse Practitioner 307 S EVERGREEN AVE,
WOODBURY, NJ, United States
11-Jan-2013
1407032329 MARTICA S KING Counselor, Mental Health 1001 ROHLWING RD,
ELK GROVE VILLAGE, IL, United States
10-Jan-2008
1760668685 SUSAN EVANS Counselor, Mental Health 1001 ROHLWING RD,
ELK GROVE VILLAGE, IL, United States
10-Jan-2008

FAQs

Whose NPI Number is 1669474870?

1669474870 is the NPI number of KEITH DAVID BOWERSOX.

What is the specialty for KEITH DAVID BOWERSOX?

The Specialty of KEITH DAVID BOWERSOX is Thoracic Surgery (Cardiothoracic Vascular Surgery).

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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