| NPI | 1316194285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEOFFREY CRAIG FENNER Physician/Owner 847-716-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: IL 036081864) |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2020-10-29 |