| NPI | 1659615987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID K. ISAACS President 312-498-1016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A113129) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A113129) |
| 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: CA A113129) | |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2020-05-22 |