| NPI | 1003953761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN T GRABOWSKI Owner 847-439-7515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036-073619) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: IL 036-092227) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2010-10-01 |