| NPI | 1063801033 |
|---|---|
| Doing Business As | N SHORE CNTR FACIAL PLASTIC & COSMETIC SURG. |
| Entity Type | Organization |
| Authorized Contact | ANTHONY JAMES GEROULIS Medical Director 847-441-4441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036050050) |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2015-01-14 |