| NPI | 1093143125 |
|---|---|
| Doing Business As | LINCOLN PARK PLASTIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | LAWRENCE HAL ITELD President/ Owner 312-757-4505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: IL 036-108014) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2020-06-17 |