| NPI | 1780858373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVAN T. MANOLIS President 708-873-9600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: IL 036093168) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2011-11-08 |