Organization · Type 2 NPI

Midwest Plastic& Reconstructive Surgery

Plastic and Reconstructive Surgery Physician · Chicago, IL

NPI number 1316110737 Active

Practice location

5645 W Addison St
Chicago, IL 60634-4403

Fax (773) 527-5070

Mailing address

801 Windsor Rd
Glenview, IL 60025-3128

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X036107060 (IL)
Surgery of the Hand (Surgery) Physician 2086S0105X036107060 (IL)
Plastic and Reconstructive Surgery Physician Primary 2086S0122X036107060 (IL)

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

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About NPI 1316110737

Midwest Plastic& Reconstructive Surgery's National Provider Identifier is 1316110737, issued on Apr 7, 2008. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Chicago, IL. The record was last updated on Jul 21, 2008.