| North Shore Cosmetic Surgery & Wellness Center Ltd | |
|
6948 N Lexington Ln Niles IL 60714-4444 | |
| (847) 647-0747 | |
| Not Available |
| Full Name | North Shore Cosmetic Surgery & Wellness Center Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 6948 N Lexington Ln, Niles, Illinois |
| Authorized Official Name and Position | Mitchell V Kaminski (OWNER) |
| Authorized Official Contact | 8476470747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Shore Cosmetic Surgery & Wellness Center Ltd 6948 N Lexington Ln Niles IL 60714-4444 Ph: (847) 647-0747 | North Shore Cosmetic Surgery & Wellness Center Ltd 6948 N Lexington Ln Niles IL 60714-4444 Ph: (847) 647-0747 |
| NPI Number | 1598916538 |
|---|---|
| Provider Enumeration Date | 10/08/2008 |
| Last Update Date | 01/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598916538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036041940 (Illinois) | Primary |
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