Organization · Type 2 NPI

Lake Shore Plastic Surgery

Specialist · Chicago, IL

NPI number 1306142872 Active

Practice location

60 E Delaware Pl, 15th Fl
Chicago, IL 60611-1998

Call (312) 202-9000 Map

Fax (312) 202-9002

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X036092789 (IL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1306142872

Lake Shore Plastic Surgery's National Provider Identifier is 1306142872, issued on Feb 1, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Chicago, IL. The record was last updated on Feb 1, 2011.