institution
Gt Plastic And Reconstructive Surgery, S.c.
Plastic and Reconstructive Surgery Physician in Algonquin, Illinois
NPI 1992731228

Gt Plastic And Reconstructive Surgery, S.c. is a Plastic and Reconstructive Surgery Physician based in Algonquin, IL and is specialized in Plastic and Reconstructive Surgery. Gt Plastic And Reconstructive Surgery, S.c. practices in Algonquin, IL. The NPI Number for Gt Plastic And Reconstructive Surgery, S.c. is 1992731228 and holds a License No. 042-616888 (Illinois).

The current practice location address for Gt Plastic And Reconstructive Surgery, S.c. is 1474 Merchant Dr, Algonquin, IL and can be reached out via phone at 847-458-8808 and via fax at 847-458-8822.

Location: 1474 Merchant Dr, Algonquin, IL, 60102-5917
institution
Provider Profile Details
NPI Number
1992731228
Provider Name
Gt Plastic And Reconstructive Surgery, S.c.
Credential
Provider Entity Type
Organization
Address
1474 Merchant Dr, Algonquin, IL, 60102-5917
Phone Number
847-458-8808
Fax Number
847-458-8822
Provider Enumeration Date
06/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04923242 01 IL BLUECROSS/BLUESHIELD
132503800 01 US DEPT OF LABOR-OWCP
institution
Provider Business Practice Location Address Details
Address
1474 Merchant Dr
City
State
Zip
60102-5917
Phone Number
847-458-8808
Fax Number
847-458-8822
person
Provider Business Mailing Address Details
Address
1474 Merchant Dr
City
State
Zip
60102-5917
Phone Number
847-458-8808
Fax Number
847-458-8822
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
042-616888 (Illinois)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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