AESTHETIC & RECONSTRUCTIVE PLASTIC SURGERY INSTITUTE S.C. NPI 1912127952

NPI Information

NPI: 1912127952
Provider Name: AESTHETIC & RECONSTRUCTIVE PLASTIC SURGERY INSTITUTE, S.C.
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
6 BRONZE POINTE S
SWANSEA, IL
ZIP 62226
Phone: (618) 355-0992
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AESTHETIC & RECONSTRUCTIVE PLASTIC SURGERY INSTITUTE, S.C. is an ambulatory surgical clinic center in Swansea, IL. AESTHETIC & RECONSTRUCTIVE PLASTIC SURGERY INSTITUTE, S.C. NPI is 1912127952. The provider is registered as an organization entity type.

The provider's business location address is:

6 BRONZE POINTE S
SWANSEA, IL
ZIP 62226-307
Phone: (618) 355-0992

The provider's authorized official is Timothy Michael Bradley .
The authorized official title is Medical Director and has the following contact phone number (618) 355-0992.

The enumeration date for this NPI number is 5/1/2007 and was last updated on 8/22/2020.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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

NPI Synchronization or Removal

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