| NPI | 1558556878 |
|---|---|
| Doing Business As | NEW DIMENSIONS RECONSTRUCTIVE AND COSMETIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | MARK D EVARD VP Of Revenue Cycle 217-492-9651 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: IL 036118809) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2023-09-19 |