Park Ridge Center For Plastic Surgery Inc | |
444 N. Northwest Hwy Park Ridge IL 60068 | |
(847) 696-9900 | |
(847) 696-9913 |
Full Name | Park Ridge Center For Plastic Surgery Inc |
---|---|
Speciality | Clinic/center |
Location | 444 N. Northwest Hwy, Park Ridge, Illinois |
Authorized Official Name and Position | Sam Speron (DOCTOR) |
Authorized Official Contact | 8476969900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Park Ridge Center For Plastic Surgery Inc 444 N. Northwest Hwy Park Ridge IL 60068 Ph: (847) 696-9900 | Park Ridge Center For Plastic Surgery Inc 444 N. Northwest Hwy Park Ridge IL 60068 Ph: (847) 696-9900 |
NPI Number | 1043427826 |
---|---|
Provider Enumeration Date | 05/17/2007 |
Last Update Date | 04/07/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043427826 | NPI | - | NPPES |
036093576 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 036093576 (Illinois) | Primary |
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› Verified 2 days ago
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