Lake Shore Plastic Surgery
Lake Shore Plastic Surgery is a Specialist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2011.
- Licensed in
- IL
- In the registry since
- 2011
Practice location Address checks out
60 E Delaware Pl 15th FlChicago, IL 60611-1998
Phone: (312) 202-9000
Fax: (312) 202-9002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 036092789 (IL) |
|---|
Record details
| NPI number | 1306142872 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Horn — President · (312) 202-9000 |
| NPI enumerated | February 1, 2011 |
| Last updated in NPPES | February 1, 2011 |
| Mailing address | 60 E Delaware Pl, 15th Fl, Chicago, IL 60611-1998 |
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