Organization
AESTHETIC AND RECONSTRUCTIVE SURGERY, S.C.
Active
Other names
The Elysa Fisher Women's LifeCenter
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GERALYN B WALSH (BUSINESS MANAGER)
(847) 256-9400
Entity
Organization
Contact information
Practice address
118 SKOKIE BLVD, WILMETTE, IL 60091-3050
(847) 256-9400
(847) 256-9412
Mailing address
118 SKOKIE BLVD, WILMETTE, IL 60091-3050
(847) 256-9400
(847) 256-9412
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
036-072742
IL
Other
Enumeration date
01/02/2008
Last updated
03/03/2009
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