Organization
THE AESTHETIC PLASTIC SURGERY CENTER OF BARRINGTON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY MICHAEL BAZELL MD (OWNER/DIRECTOR)
(847) 382-4160
Entity
Organization
Contact information
Practice address
20 EXECUTIVE CT, SUITE 3, SOUTH BARRINGTON, IL 60010-9543
(847) 382-4160
Mailing address
20 EXECUTIVE CT, SUITE 3, SOUTH BARRINGTON, IL 60010-9543
(847) 382-4160
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
036103581
IL
Other
Enumeration date
10/30/2008
Last updated
10/30/2008
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