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FENNER PLASTIC SURGERY LTD. NPI 1316194285


NPI Information

NPI: 1316194285
Provider Name: FENNER PLASTIC SURGERY, LTD.
Classification: Plastic Surgery - 208200000X
Entity Type: Organization

CLIA Number: 14D2025451

Address:
512 GREEN BAY RD
KENILWORTH, IL
ZIP 60043
Phone: (847) 716-2400
Get Directions

FENNER PLASTIC SURGERY, LTD. is a plastic surgery in Kenilworth, IL. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. FENNER PLASTIC SURGERY, LTD. NPI is 1316194285. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

512 GREEN BAY RD
KENILWORTH, IL
ZIP 60043-073
Phone: (847) 716-2400
Fax: (847) 716-2401

The provider's authorized official is Geoffrey Craig Fenner .
The authorized official title is Physician/owner and has the following contact phone number (847) 716-2400.

The CLIA number assigned to this NPI record is 14D2025451 - blood bank with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/22/2008 and was last updated on 10/29/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208200000XPlastic Surgery036081864ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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