| NPI | 1194754861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANSOUR VINCENT MAKHLOUF President 847-297-8001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery Surgery of the Hand |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2020-08-22 |