| NPI | 1881053668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT PARESI Owner 312-810-5296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: IL 036113232) |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2016-03-24 |