Organization
PARK RIDGE CENTER FOR PLASTIC SURGERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAM SPERON MD (DOCTOR)
(847) 696-9900
Entity
Organization
Contact information
Practice address
444 N. NORTHWEST HWY, PARK RIDGE, IL 60068
(847) 696-9900
(847) 696-9913
Mailing address
444 N. NORTHWEST HWY, PARK RIDGE, IL 60068
(847) 696-9900
(847) 696-9913
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
036093576
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036093576
—
IL
Enumeration date
05/17/2007
Last updated
04/07/2011
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