NPI: 1134252273
Provider Name: METROPOLITAN MD, SC
Former Legal Business Name: EDWARD B. LACK, MDSC
Classification: Surgery - 2086S0122X
Entity Type: Organization
Specialization: Plastic and Reconstructive Surgery
CLIA Number: 14D1070468
Address:
2350 RAVINE WAY
SUITE 400
GLENVIEW, IL
ZIP 60025
Phone: (847) 832-6700
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METROPOLITAN MD, SC is a plastic and reconstructive surgery surgery in Glenview, IL. The provider is a surgeon who specializes in plastic and reconstructive surgery. METROPOLITAN MD, SC NPI is 1134252273. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Edward B. Lack, Mdsc.
The provider's business location address is:
2350 RAVINE WAY
SUITE 400
GLENVIEW, IL
ZIP 60025-621
Phone: (847) 832-6700
Fax: (847) 832-9430
The provider's authorized official is John D. Rachel .
The authorized official title is President and has the following contact phone number (847) 832-6700.
The CLIA number assigned to this NPI record is 14D1070468 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/14/2007 and was last updated on 1/28/2014.