Organization
FLAWLESS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELTON X TINSLEY M.D. (CEO)
(312) 222-0030
Entity
Organization
Contact information
Practice address
8222 S KING DR, CHICAGO, IL 60619-4964
(312) 222-0030
(773) 873-4060
Mailing address
PO BOX 804193, CHICAGO, IL 60680-4103
(312) 222-0030
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036079325
IL
Other
Enumeration date
05/14/2011
Last updated
05/14/2011
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