NPI 1063249357

Ashpole Surgery Center LLC

Organisation Plastic Surgery Physician Itasca, IL

Practice location

Address: 1107 N Prospect Ave, Itasca, IL 60143-1408
Phone: (847) 884-8346
Mailing address: 1333 W Estate Ln E, Lake Forest, IL 60045-3623

Authorised official

Name: Bradley Ashpole
Title: Ceo
Phone: (847) 650-5818

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X

Other Plastic Surgery providers in Illinois →

Registry record

NPI: 1063249357
Entity type: Organization
NPI issued: 19 Sep 2024
Record last updated: 19 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.