NPI | 1578551065 |
---|---|
Doing Business As | PLASTIC SURGERY CONSULTANTS OF ILLINOIS |
Entity Type | Organization |
Authorized Contact | ROBERT C. WANLESS President 618-257-2100 |
Organization Subpart ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: IL 036052657) |
Enumeration Date | 2005-10-10 |
Last Update Date | 2020-08-22 |