Organization
CHICAGO LIPO LASER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE THOMAS NELLAMATTATHIL (MANAGER)
(773) 774-6440
Entity
Organization
Contact information
Practice address
5318 W DEVON AVE, CHICAGO, IL 60646-4108
(773) 774-6440
Mailing address
5318 W DEVON AVE, CHICAGO, IL 60646-4108
(773) 774-6440
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
IL1197
IL
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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