NPI | 1588914105 |
---|---|
Entity Type | Organization |
Authorized Contact | R PHILIP SZWAJKUN Ower 773-884-7920 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: IL 036084650) |
Enumeration Date | 2012-09-11 |
Last Update Date | 2012-09-11 |