Organization
HEALTH & RENEWAL PLASTIC SURGERY ASSOCIATES, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A GREVIOUS M.D. (PRESIDENT)
(630) 952-1400
Entity
Organization
Contact information
Practice address
3845 MCCOY DR, SUITE 101, AURORA, IL 60504-4105
(630) 952-1400
Mailing address
849 W OHIO ST UNIT 1, CHICAGO, IL 60622-8901
(630) 952-1400
(630) 952-1447
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036100551
—
IL
Enumeration date
05/29/2008
Last updated
08/11/2008
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