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1467512756
MIDWEST CENTER FOR PLASTIC SURGERY
DECATUR, IL
NPI
1467512756
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Entity Type
Organization
Authorized Contact
EMMANUELLA JOSEPH
President
217-876-9987
Organization Subpart ?
No
Primary Taxonomy
208200000X Plastic Surgery
(Licence: IL 036103979)
Enumeration Date
2006-12-10
Last Update Date
2020-08-22
Business Address
MIDWEST CENTER FOR PLASTIC SURGERY
1 MEMORIAL DR STE 216
DECATUR, IL 62526-6321
Phone number: 217-876-9987
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Mailing Address
MIDWEST CENTER FOR PLASTIC SURGERY
PO BOX 2077
DECATUR, IL 62524-2077
Phone number: 217-876-9987
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