| NPI | 1528226222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER S LEE Owner/President 217-523-0808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: IL 036119974) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-05-29 |