| NPI | 1770820144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL CHRISTOPHER DILLON President 815-353-0117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: IL 036101413) |
| Enumeration Date | 2013-01-05 |
| Last Update Date | 2020-03-10 |