| NPI | 1275748873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR LAMAR LEWIS President 312-335-9155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: IL 042004549) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2009-06-16 |