| 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 |