Provider Demographics
NPI:1194754861
Name:ASSOCIATES FOR PLASTIC SURGERY EXCELLENCE LTD
Entity type:Organization
Organization Name:ASSOCIATES FOR PLASTIC SURGERY EXCELLENCE LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MANSOUR
Authorized Official - Middle Name:VINCENT
Authorized Official - Last Name:MAKHLOUF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-297-8001
Mailing Address - Street 1:9301 GOLF RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-1667
Mailing Address - Country:US
Mailing Address - Phone:847-297-8001
Mailing Address - Fax:847-297-8125
Practice Address - Street 1:9301 GOLF RD
Practice Address - Street 2:SUITE 110
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-1667
Practice Address - Country:US
Practice Address - Phone:847-297-8001
Practice Address - Fax:847-297-8125
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2082S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the HandGroup - Single Specialty