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Organization
GT PLASTIC AND RECONSTRUCTIVE SURGERY, S.C.
Active
Organization
GT PLASTIC AND RECONSTRUCTIVE SURGERY, S.C.
Active
Other names
Midwest Plastic Surgery Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
GUNNAR THORS MD (OWNER)
(847) 458-8808
Entity
Organization
Contact information
Practice address
163 S RANDALL RD, ELGIN, IL 60123-5551
(847) 458-8808
(847) 458-8822
Mailing address
PO BOX 410, BARRINGTON, IL 60011-0410
(847) 458-8808
(847) 458-8822
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
042-616888
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04923242
BLUECROSS/BLUESHIELD
IL
01
—
132503800
US DEPT OF LABOR-OWCP
—
Enumeration date
06/26/2006
Last updated
02/21/2025
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