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1306142872
LAKE SHORE PLASTIC SURGERY
CHICAGO, IL
NPI
1306142872
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Entity Type
Organization
Authorized Contact
MICHAEL ALAN HORN
President
312-202-9000
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: IL 036092789)
Enumeration Date
2011-02-01
Last Update Date
2011-02-01
Business Address
LAKE SHORE PLASTIC SURGERY
60 E DELAWARE PL 15TH FL
CHICAGO, IL 60611-1998
Phone number: 312-202-9000
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Mailing Address
LAKE SHORE PLASTIC SURGERY
60 E DELAWARE PL 15TH FL
CHICAGO, IL 60611-1998
Phone number: 312-202-9000
Copy
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