Facial Plastic And Laser Surgery Center Llc

NPI 1194888677 - Clinic/Center - 261Q00000X

NPI Details
NPI 1194888677
Enumeration Date 12/18/2006
Last Updated 03/09/2016
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ROBERT J ROBERT
Position CHIEF EXECUTIVE OFFICER
Phone (309) 589-3233
Fax (309) 689-0312
Practice Location
7301 N KNOXVILLE AVE
PEORIA IL, 61614-2017, US
Phone (309) 589-3233
Fax (309) 689-0312
Business Location
7301 N KNOXVILLE AVE
PEORIA IL, 61614-2017, US
Phone (309) 589-3233
Fax
Toxanomy
Taxonomy Code 261Q00000X
License State Illinois
License Number =========
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According to our database, Facial Plastic And Laser Surgery Center Llc NPI is 1194888677, taxonomy code is 261Q00000X and license number is =========, license state is located at Illinois. Facial Plastic And Laser Surgery Center Llc physically located at 7301 N Knoxville Ave, Peoria IL, 61614-2017. NPI Number 1033115704 has the healthcare provider type.

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1194888677 NPI number is provided on an as is basis without warranty of any kind. 1194888677 is maintained by the National Plan & Provider Enumeration System. The contents of Facial Plastic And Laser Surgery Center Llc are for informational purposes only.