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 |