| NPI | 1790125953 |
|---|---|
| Doing Business As | MI FACE AND BODY |
| Entity Type | Organization |
| Authorized Contact | LAUREN LAATSCH Office Manager 312-724-6673 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: IL 036127928) |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2013-09-03 |