| NPI | 1235330325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY MICHAEL PENSLER President 312-642-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: IL 036-075637) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2008-02-01 |