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Contact Information

KEITH D BOWERSOX, M.D, PHD
800 BIESTERFIELD RD
SUITE 4005
ELK GROVE VILLAGE, IL60007-3361
 Phone: 847-593-4116
 Fax: 847-593-4135
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for KEITH D BOWERSOX · (Male)

NPI # 1669474870
Status Active
Credentials M.D, PHD
Entity Individual
Enumeration date 06/01/2005
Last updated 12/15/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036078229
  • IL Medicaid 036078229
Hospital affiliation(s)
  • ADVOCATE CONDELL MEDICAL CENTER - (Acute Care)
    801 S MILWAUKEE AVE
    LIBERTYVILLE, IL 60048
  • ADVOCATE GOOD SHEPHERD HOSPITAL - (Acute Care)
    450 WEST HIGHWAY 22
    BARRINGTON, IL 60010
  • ALEXIAN BROTHERS MEDICAL CENTER - (Acute Care)
    800 W BIESTERFIELD RD
    ELK GROVE VILLAGE, IL 60007
  • SHERMAN HOSPITAL - (Acute Care)
    1425 NORTH RANDALL ROAD
    ELGIN, IL 60123
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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