| NPI | 1487943593 |
|---|---|
| Doing Business As | CENTER FOR COSMETIC AND LASER SURGERY, LLC |
| Entity Type | Organization |
| Authorized Contact | JOHN HESSE Executive Administrator 309-662-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: IL 36-084126) |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2011-03-30 |