| NPI | 1881759991 |
|---|---|
| Doing Business As | SOUTHWESTERN ILLINOIS PLASTIC & HAND SURGERY |
| Entity Type | Organization |
| Authorized Contact | THOMAS HAROLD YATES Practice Administrator 618-656-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2009-03-18 |