Organization · Type 2 NPI

Winchester Aesthetic Surgical Suite, SC

Ambulatory Surgical Clinic/Center · Libertyville, IL

NPI number 1902084593 Active

Practice location

1880 W Winchester Rd, Suite 107
Libertyville, IL 60048-5341

Fax (847) 968-2402

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903XNone listed

Ambulatory Surgical Clinic/Center: Definition to come...

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About NPI 1902084593

Winchester Aesthetic Surgical Suite, SC's National Provider Identifier is 1902084593, issued on Feb 5, 2008. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Libertyville, IL. The record was last updated on Feb 5, 2008.