| NPI | 1447608104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAZEN SAMIR HARAKE President 773-230-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MI 4301086566) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2016-06-02 |