Provider Demographics
NPI:1922572411
Name:PLASTIC SURGERY SERVICES AND EQUIPMENT LLC
Entity Type:Organization
Organization Name:PLASTIC SURGERY SERVICES AND EQUIPMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PLASTIC SURGEON/OWNERS
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:PARESI
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:630-426-6019
Mailing Address - Street 1:3050 FINLEY RD STE 300B
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-1369
Mailing Address - Country:US
Mailing Address - Phone:630-426-6019
Mailing Address - Fax:
Practice Address - Street 1:3050 FINLEY RD STE 300B
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-1369
Practice Address - Country:US
Practice Address - Phone:630-426-6019
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-17
Last Update Date:2019-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty