Bowersox, Keith David

Bowersox, Keith David is an individual health care provider with primary practice located at 800 Biesterfield Rd Suite 4005, Elk Grove Village IL 60007-3361. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Bowersox, Keith David can be contacted via phone (847) 593-4116.

Contact Information

Primary practice address
800 Biesterfield Rd Suite 4005 Elk Grove Village IL 60007-3361
Phone: (847) 593-4116
Fax: (847) 593-4135
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 036078229 Illinois

Profile Details

NPI number 1669474870
LBN Legal business name Bowersox, Keith David
Credentials M.D, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Dec 15th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669474870 NPPES
Illinois MEDICAID 036078229

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