Aesthetic and Reconstructive Surgery, SC

Organization Plastic and Reconstructive Surgery Physician · NPI 1407031057

Aesthetic and Reconstructive Surgery, SC is a Plastic and Reconstructive Surgery Physician in Wilmette, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in: IL
In the registry since: 2008

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Practice location Address checks out

118 Skokie Blvd
Wilmette, IL 60091-3050
Phone: (847) 256-9400
Fax: (847) 256-9412

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary)	Taxonomy 2086S0122X · Licence 036-072742 (IL)

Record details

NPI number	1407031057
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Geralyn Walsh — Business Manager · (847) 256-9400
Other names	The Elysa Fisher Women'S Lifecenter
NPI enumerated	January 2, 2008
Last updated in NPPES	March 3, 2009
Mailing address	118 Skokie Blvd, Wilmette, IL 60091-3050