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 |