NPI | 1720154396 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREW J KONTRICK Owner Service Corporation 847-244-5884 |
Organization Subpart ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: IL 036045858) |
Enumeration Date | 2006-11-27 |
Last Update Date | 2020-08-22 |