Center for Cosmetic Medicine, Ltd.

NPI #1104033794 in Decatur, Illinois

Provider Information

NPI Number
1104033794
Entity Type
Organization
Organization Name
Center for Cosmetic Medicine, Ltd.
Primary Specialty
Specialist
Enumeration Date
May 16, 2007
Last Updated
Oct 17, 2013

Practice Location

Address
2 MEMORIAL DR STE 310
ZIP Code
62526-3983
Phone
(217) 877-9000

Authorized Official

Name
DR. STUART F. BAKER, M.D.
Title
PRESIDENT
Phone
(217) 877-9000

Specialties & Taxonomy Codes

Specialty
Specialist

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