Organization
SUBURBAN PLASTIC SURGERY, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMASAMY KALIMUTHU M.D. (PRESIDENT)
(708) 636-8222
Entity
Organization
Contact information
Practice address
5346 W 95TH ST, OAK LAWN, IL 60453-2452
(708) 636-8222
(708) 636-9798
Mailing address
5346 W 95TH ST, OAK LAWN, IL 60453-2452
(708) 636-8222
(708) 636-9798
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
—
—
2086S0105X
Surgery of the Hand (Surgery) Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
Other
Enumeration date
04/10/2007
Last updated
05/05/2008
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