Organization
JW OPERATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE BATTLES (BILLING DIRECTOR)
(708) 669-9314
Entity
Organization
Contact information
Practice address
1811 SAINT JOHNS AVE STE 100, HIGHLAND PARK, IL 60035-5607
(312) 642-0400
Mailing address
1811 SAINT JOHNS AVE STE 100, HIGHLAND PARK, IL 60035-5607
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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