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Organization

FACE AND BODY PLASTIC SURGERY, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICARDO IZQUIERDO M.D. (PRESIDENT)
(630) 794-0700
Entity
Organization

Contact information

Practice address
2425 W 22ND ST, SUITE 213, OAK BROOK, IL 60523-1245
(630) 794-0700
Mailing address
2425 W 22ND ST, SUITE 213, OAK BROOK, IL 60523-1245
(630) 794-0700

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary

Other

Enumeration date
08/03/2009
Last updated
08/03/2009
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