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14D2173715 CLIA NUMBER - PLASTIC SURGERY SERVICES & EQUIPMENT L L C

Laboratory Demographics

CLIA Number: 14D2173715

Facility Name: PLASTIC SURGERY SERVICES & EQUIPMENT L L C

Facility Address:
2001 BUTTERFIELD RD - STE 100
DOWNERS GROVE, IL
ZIP 60515
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Facility Phone Number: 630 426-6019

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1922572411

Taxonomy: 208200000X - Plastic Surgery
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

CLIA Record

Field Name Field Value
CLIA Number 14D2173715
LAB Type Physician Office
Facility Name PLASTIC SURGERY SERVICES & EQUIPMENT L L C
Street 2001 BUTTERFIELD RD - STE 100
City DOWNERS GROVE
State IL
ZIP 60515
Phone 630 426-6019
CertificateType 4
CertificateEffectiveDate 10/17/2023
CertificateExpirationDate 10/16/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024