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 |