LAKE SHORE PLASTIC SURGERY is a specialist in Chicago, IL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. LAKE SHORE PLASTIC SURGERY NPI is 1306142872. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
60 E DELAWARE PL
15TH FL
CHICAGO, IL
ZIP 60611-998
Phone: (312) 202-9000
Fax: (312) 202-9002
The provider's authorized official is Michael Alan Horn .
The authorized official title is President and has the following contact phone number (312) 202-9000.
The CLIA number assigned to this NPI record is 14D2203186 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/1/2011 and was last updated on 2/1/2011.