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Organization
CENTER FOR FACIAL PLASTIC SURGERY, LTD
Active
Organization
CENTER FOR FACIAL PLASTIC SURGERY, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY S. CHURCHILL M.D. (OWNER)
(847) 304-1000
Entity
Organization
Contact information
Practice address
515 WEST OLD NORTHWEST HIGHWAY, BARRINGTON, IL 60010-6828
(847) 304-1000
(847) 304-1182
Mailing address
515 W OLD NORTHWEST HWY, BARRINGTON, IL 60010-6828
(847) 304-1000
(847) 304-1182
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
NOT NEEDED
IL
Other
Enumeration date
04/12/2007
Last updated
03/18/2015
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