Facial Cosmetic & Reconstructive Surgery, SC
Facial Cosmetic & Reconstructive Surgery, SC is an Oral and Maxillofacial Surgery Clinic/Center in Dunlap, Illinois. Licensed in Illinois. Registered with an NPI since 2008.
- Licensed in
- IL
- In the registry since
- 2008
Practice location Address checks out
11825 N Knoxville AveDunlap, IL 61525-8842
Phone: (309) 243-8980
Fax: (309) 243-8983
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Surgery Clinic/Center (primary) | Taxonomy 261QS0112X · Licence 019025195 (IL) |
|---|
Record details
| NPI number | 1417123076 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Wendy Morrison — Office Manager · (309) 243-8980 |
| NPI enumerated | May 5, 2008 |
| Last updated in NPPES | May 5, 2008 |
| Mailing address | 11825 N Knoxville Ave, Dunlap, IL 61525-8842 |