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Lake Shore Plastic Surgery
Specialist in Chicago, Illinois
NPI 1306142872

Lake Shore Plastic Surgery is a Specialist based in Chicago, IL. Lake Shore Plastic Surgery practices in Chicago, IL. The NPI Number for Lake Shore Plastic Surgery is 1306142872 and holds a License No. 036092789 (Illinois).

The current practice location address for Lake Shore Plastic Surgery is 60 E Delaware Pl, Chicago, IL and can be reached out via phone at 312-202-9000 and via fax at 312-202-9002.

Location: 60 E Delaware Pl, Chicago, IL, 60611-1998
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306142872
Provider Name
Lake Shore Plastic Surgery
Credential
Provider Entity Type
Organization
Address
60 E Delaware Pl, Chicago, IL, 60611-1998
Phone Number
312-202-9000
Fax Number
312-202-9002
Provider Enumeration Date
02/01/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
60 E Delaware Pl
City
Chicago
State
Illinois
Zip
60611-1998
Phone Number
312-202-9000
Fax Number
312-202-9002
person
Provider Business Mailing Address Details
Address
60 E Delaware Pl
City
Chicago
State
Illinois
Zip
60611-1998
Phone Number
312-202-9000
Fax Number
312-202-9002
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
036092789 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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