Organization
RAINE CENTER FOR PLASTIC SURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TALMAGE JOSEPH RAINE M.D. (PRESIDENT)
(217) 366-2650
Entity
Organization
Contact information
Practice address
1405 W PARK ST, SUITE 206, URBANA, IL 61801-2367
(217) 366-2650
(217) 366-2652
Mailing address
1405 W PARK STREET, SUITE 206, URBANA, IL 61801-2365
(217) 366-2650
(217) 366-2652
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
036057908
IL
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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