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 |