| NPI | 1306074521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN MICHAEL BRAITHWAITE President 312-258-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: IL 036096170) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2010-03-19 |