Organization
LAKEVIEW PLASTIC SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALISON M SHORE MD (MANAGER)
(847) 868-5544
Entity
Organization
Contact information
Practice address
3000 N HALSTED ST, SUITE, CHICAGO, IL 60657-5188
(773) 883-8234
Mailing address
3000 N HALSTED ST, SUITE, CHICAGO, IL 60657-5188
(773) 883-8234
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
036.129891
IL
Other
Enumeration date
04/04/2013
Last updated
04/04/2013
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