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 |