Organization
GT PLASTIC AND RECONSTRUCTIVE SURGERY, S.C.
Active
Other names
Midwest Plastic Surgery Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
GUNNAR THORS MD (OWNER)
(847) 458-8808
Entity
Organization
Contact information
Practice address
163 S RANDALL RD, ELGIN, IL 60123-5551
(847) 458-8808
(847) 458-8822
Mailing address
PO BOX 410, BARRINGTON, IL 60011-0410
(847) 458-8808
(847) 458-8822
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
042-616888
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04923242
BLUECROSS/BLUESHIELD
IL
01
—
132503800
US DEPT OF LABOR-OWCP
—
Enumeration date
06/26/2006
Last updated
02/21/2025
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