Organization
HAND AND PLASTIC SURGERY ASSOC.,LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN WALLENBERG (FINANCIAL COORDINATOR)
(630) 758-8777
Entity
Organization
Contact information
Practice address
1200 S YORK RD, STE 3200, ELMHURST, IL 60126-5626
(630) 758-8777
(630) 758-8778
Mailing address
1200 S YORK RD, STE 3200, ELMHURST, IL 60126-5626
(630) 758-8777
(630) 758-8778
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH5107
RAIL ROAD
IL
01
—
CK3769
RAIL ROAD
IL
Enumeration date
04/04/2007
Last updated
09/28/2007
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