| NPI | 1114112554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER VINCENT PELLETIERE Physician 847-358-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: IL 036-112359) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-09-10 |