Organization
OAK BROOK PLASTIC SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAI RAMASASTRY (MD)
(708) 422-4180
Entity
Organization
Contact information
Practice address
5669 W 95TH ST, OAK LAWN, IL 60453-2382
(708) 422-4180
Mailing address
5669 W 95TH ST, OAK LAWN, IL 60453-2382
(708) 422-4180
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
10/07/2009
Last updated
04/23/2010
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