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Organization
AESTHETIC AND RECONSTRUCTIVE SURGERY, S.C.
Active
Organization
AESTHETIC AND RECONSTRUCTIVE SURGERY, S.C.
Active
Other names
The Elysa Fisher Women's LifeCenter
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GERALYN B WALSH (BUSINESS MANAGER)
(847) 256-9400
Entity
Organization
Contact information
Practice address
118 SKOKIE BLVD, WILMETTE, IL 60091-3050
(847) 256-9400
(847) 256-9412
Mailing address
118 SKOKIE BLVD, WILMETTE, IL 60091-3050
(847) 256-9400
(847) 256-9412
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
036-072742
IL
Other
Enumeration date
01/02/2008
Last updated
03/03/2009
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