| NPI | 1619666237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER MICHAEL SWEENEY Physician 312-965-0963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2023-05-01 |