institution
Advanced Aesthetics Surgery & Laser Center, P.c.
Ambulatory Surgical Clinic/Center in Champaign, Illinois
NPI 1366620064

Advanced Aesthetics Surgery & Laser Center, P.c. is an Ambulatory Surgical Clinic/Center based in Champaign, IL and is specialized in Ambulatory Surgical. Advanced Aesthetics Surgery & Laser Center, P.c. practices in Champaign, IL. The NPI Number for Advanced Aesthetics Surgery & Laser Center, P.c. is 1366620064 and holds a License No. 060.007842 (Illinois).

The current practice location address for Advanced Aesthetics Surgery & Laser Center, P.c. is 2111 West Park Ct., Champaign, IL and can be reached out via phone at 217-356-3850 and via fax at 217-356-3876.

Location: 2111 West Park Ct., Champaign, IL, 61822-8305
institution
Provider Profile Details
NPI Number
1366620064
Provider Name
Advanced Aesthetics Surgery & Laser Center, P.c.
Credential
Provider Entity Type
Organization
Address
2111 West Park Ct., Champaign, IL, 61822-8305
Phone Number
217-356-3850
Fax Number
217-356-3876
Provider Enumeration Date
02/05/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
060.007842 01 IL STATE OF ILLINOIS
institution
Provider Business Practice Location Address Details
Address
2111 West Park Ct.
City
State
Zip
61821
Phone Number
217-356-3850
Fax Number
217-356-3876
person
Provider Business Mailing Address Details
Address
2111 West Park Ct.
City
State
Zip
61821
Phone Number
217-356-3850
Fax Number
217-356-3876
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
060.007842 (Illinois)
Definition
Definition to come...
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