NPI | 1295023026 |
---|---|
Entity Type | Organization |
Authorized Contact | FRANK A. VICARI President 847-302-9330 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: IL 036068514) |
Enumeration Date | 2011-07-13 |
Last Update Date | 2011-07-13 |