MIDWEST PLASTIC& RECONSTRUCTIVE SURGERY
Radiology at Addison St, Chicago, IL

License number
Illinois 036107060
Category
Radiology
Type
Surgery
License number
Illinois 036107060
Category
Radiology
Type
Surgery of the Hand
License number
Illinois 036107060
Category
Radiology
Type
Plastic and Reconstructive Surgery
Owner
Name: SRDJAN OSTRIC
Title: PRESIDENT
Phone: (312) 375-2076
Address
Address 2
5645 W Addison St, Chicago, IL 60634
801 Windsor Rd, Glenview, IL 60025
National Provider ID: 1316110737
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MIDWEST PLASTIC & RECONSTRUCTIVE SURGERY, S.C

Glenview, IL 60025

Registration:
Mar 8, 2006
State ID:
64796836
Business type:
DOMESTIC BCA
Expiration:
PERPETUAL
Agent:
Sherwin R. Rubinstein,7250 N Cicero Ave #200, Lincolnwood, IL 60712 (Physical)

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