Organization · Type 2 NPI
Advanced Aesthetics Surgery & Laser Center, P.c.
Ambulatory Surgical Clinic/Center · Champaign, IL
NPI number
1366620064
Active
Practice location
2111 West Park Ct.
Champaign, IL 61821
Fax (217) 356-3876
Mailing address
1702 Mullikin Dr
Champaign, IL 61822-8305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | 060.007842 (IL) |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1366620064
Advanced Aesthetics Surgery & Laser Center, P.c.'s National Provider Identifier is 1366620064, issued on Feb 5, 2008. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Champaign, IL. The record was last updated on Jan 8, 2018.