| NPI | 1063784379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLEMENT S ROSE Vice President 773-564-5444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2012-02-01 |