Organization
MEDSPA WOMEN HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL F BOTROS MD (MD)
(847) 466-5905
Entity
Organization
Contact information
Practice address
1 TIFFANY PT, SUITE G1, BLOOMINGDALE, IL 60108-2936
(847) 466-5905
(847) 466-5912
Mailing address
1 TIFFANY PT, SUITE G1, BLOOMINGDALE, IL 60108-2936
(847) 466-5905
(847) 466-5912
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036.118893
IL
Other
Enumeration date
12/13/2010
Last updated
12/13/2010
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