Organization
PLASTIC SURGERY CONSULTANTS, P.C.
Active
Other names
Plastic Surgery Consultants of Illinois
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT C. WANLESS M.D. (PRESIDENT)
(618) 257-2100
Entity
Organization
Contact information
Practice address
4600 MEMORIAL DR, MEDICAL OFFICE BUILDING 2 - SUITE 320, BELLEVILLE, IL 62226-5366
(618) 257-2100
(618) 257-2169
Mailing address
4600 MEMORIAL DR, MEDICAL OFFICE BUILDING 2 - SUITE 320, BELLEVILLE, IL 62226-5366
(618) 257-2100
(618) 257-2169
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
IL
Other
Enumeration date
10/10/2005
Last updated
08/22/2020
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