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Organization
PRISM PLASTIC SURGERY PLLC
Active
Organization
PRISM PLASTIC SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMEER KAPADIA MD (OWNER)
(847) 507-7707
Entity
Organization
Contact information
Practice address
2845 N. SHERIDAN RD, STE 903, CHICAGO, IL 60657
(312) 872-8514
Mailing address
2517 W SHAKESPEARE AVE, CHICAGO, IL 60647-4117
(847) 507-7077
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
07/03/2023
Last updated
12/06/2024
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