Organization
COSMETIC SURGERY SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLAN PARUNGAO MD (OWNER)
(847) 219-0539
Entity
Organization
Contact information
Practice address
2803 BUTTERFIELD RD, SUITE 180, OAK BROOK, IL 60523-1156
(847) 219-0539
Mailing address
PO BOX 444, LAKE FOREST, IL 60045-0444
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
03/04/2013
Last updated
03/04/2013
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