Organization
AESTHETIC & RECONSTRUCTIVE PLASTIC SURGERY INSTITUTE, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY MICHAEL BRADLEY MD (MEDICAL DIRECTOR)
(618) 355-0992
Entity
Organization
Contact information
Practice address
6 BRONZE POINTE S, SWANSEA, IL 62226-8307
(618) 355-0992
Mailing address
6 BRONZE POINTE S, SWANSEA, IL 62226-8307
(618) 355-0992
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/01/2007
Last updated
08/22/2020
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