Organization
SUBURBAN WOUND CARE ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID DREYFUSS MD (MAMBER)
(815) 806-9400
Entity
Organization
Contact information
Practice address
17800 KEDZIE AVE, HAZEL CREST, IL 60429-2029
(708) 799-8000
Mailing address
PO BOX 1664, FRANKFORT, IL 60423-7664
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
036071841
IL
Other
Enumeration date
03/18/2009
Last updated
03/18/2009
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