| Dr Keith David Bowersox, MD, PHD | |
|
800 Biesterfield Rd, Suite 4005, Elk Grove Village, IL 60007-3361 | |
| (847) 593-4116 | |
| (847) 593-4135 |
| Full Name | Dr Keith David Bowersox |
|---|---|
| Gender | Male |
| Speciality | Cardiac Surgery |
| Experience | 39 Years |
| Location | 800 Biesterfield Rd, Elk Grove Village, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669474870 | NPI | - | NPPES |
| 036078229 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 036078229 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Alexian Brothers Medical Center 1 | Elk grove village, IL | Hospital |
| Advocate Sherman Hospital | Elgin, IL | Hospital |
| Advocate Condell Medical Center | Libertyville, IL | Hospital |
| Advocate Good Shepherd Hospital | Barrington, IL | Hospital |
| St Alexius Medical Center | Hoffman estates, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cardiothoracic And Vascular Surgical Associates S C | 7214916402 | 42 |
| Entity Name | Patient First Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548258072 PECOS PAC ID: 3274446596 Enrollment ID: O20031111000788 |
| Entity Name | Cardiothoracic & Vascular Surgical Associates S C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780679407 PECOS PAC ID: 7214916402 Enrollment ID: O20040720000816 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Keith David Bowersox, MD, PHD 4400 W 95th St Ste 308, Oak Lawn, IL 60453-2660 Ph: (708) 346-4040 | Dr Keith David Bowersox, MD, PHD 800 Biesterfield Rd, Suite 4005, Elk Grove Village, IL 60007-3361 Ph: (847) 593-4116 |
Dr. Yan Katsnelson, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 800 Biesterfield Rd, Suite 201, Elk Grove Village, IL 60007 Phone: 847-593-8460 Fax: 847-593-8604 | |
William Elliott Stansfield, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 800 Biesterfield Rd Bldg Suite545, Elk Grove Village, IL 60007 Phone: 847-593-4116 Fax: 847-593-4135 | |
Alvaro Montoya, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 800 Biesterfield Rd, Elk Grove Village, IL 60007 Phone: 630-789-2550 |