Organization
TLKM PLASTIC SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS A. MUSTOE M.D. (SURGEON)
(312) 788-2560
Entity
Organization
Contact information
Practice address
737 N MICHIGAN AVE, SUITE 1500, CHICAGO, IL 60611-2615
(312) 788-2560
(312) 788-2563
Mailing address
737 N MICHIGAN AVE, SUITE 1500, CHICAGO, IL 60611-2615
(312) 788-2560
(312) 788-2563
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036082162
IL
Other
Enumeration date
09/03/2014
Last updated
09/03/2014
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