| NPI | 1710487095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY ASHPOLE President/CEO 847-884-8346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: IL 036113854) |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2024-05-10 |