# CENTER FOR FACIAL PLASTIC SURGERY, LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134343866
- **Authorized official:** DR. GARY S. CHURCHILL M.D. (OWNER)
- **Authorized official phone:** (847) 304-1000

## Contact information

- **Practice address:** 515 WEST OLD NORTHWEST HIGHWAY, BARRINGTON, IL 60010-6828
- **Practice address phone:** (847) 304-1000
- **Practice address fax:** (847) 304-1182
- **Mailing address:** 515 W OLD NORTHWEST HWY, BARRINGTON, IL 60010-6828
- **Mailing address phone:** (847) 304-1000
- **Mailing address fax:** (847) 304-1182

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | NOT NEEDED | IL | Yes |

## Other

- **Enumeration date:** 04/12/2007
- **Last updated:** 03/18/2015