ADVANCED AESTHETICS SURGERY & LASER CENTER, P.C.
Organization (NPI-2)
Active
Clinic/Center, Ambulatory Surgical
Provider Information
- NPI Number
1366620064- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 2111 WEST PARK CT., CHAMPAIGN, IL, 61821
- Phone
- (217) 356-3850
- Fax
- (217) 356-3876
Specialties & Taxonomies
Clinic/Center, Ambulatory Surgical
Primary License: IL #060.007842
All Addresses
MAILING
1702 MULLIKIN DR
CHAMPAIGN, IL, 618228305