| NPI | 1053585513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIC JAY ECKHARDT President/Owner 309-764-4650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: IL 036099360) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2013-11-25 |