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Organization
MIDWEST COSMETIC INSTITUTE LLC
Active
Organization
MIDWEST COSMETIC INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA ANDERSON (PARTNER)
(847) 537-5555
Entity
Organization
Contact information
Practice address
661 GRACELAND AVE, DES PLAINES, IL 60016-4518
(847) 537-5555
(847) 537-6005
Mailing address
609 ACADEMY DR, NORTHBROOK, IL 60062
(847) 537-5555
(847) 537-6005
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Enumeration date
05/25/2007
Last updated
07/21/2022
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