| NPI | 1033163761 |
|---|---|
| Doing Business As | ILLINOIS VALLEY CENTER FOR PLASTIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | CARRIE CHIARAVALLE Director 309-689-6049 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2007-08-07 |