CENTER FOR FACIAL PLASTIC SURGERY LTD NPI 1134343866

NPI Information

NPI: 1134343866
Provider Name: CENTER FOR FACIAL PLASTIC SURGERY, LTD
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 14D0690725

Address:
515 WEST OLD NORTHWEST HIGHWAY
BARRINGTON, IL
ZIP 60010
Phone: (847) 304-1000
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CENTER FOR FACIAL PLASTIC SURGERY, LTD is an ambulatory surgical clinic center in Barrington, IL. CENTER FOR FACIAL PLASTIC SURGERY, LTD NPI is 1134343866. The provider is registered as an organization entity type.

The provider's business location address is:

515 WEST OLD NORTHWEST HIGHWAY
BARRINGTON, IL
ZIP 60010-828
Phone: (847) 304-1000
Fax: (847) 304-1182

The provider's authorized official is Gary S. Churchill .
The authorized official title is Owner and has the following contact phone number (847) 304-1000.

The CLIA number assigned to this NPI record is 14D0690725 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/12/2007 and was last updated on 3/18/2015.

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	NOT NEEDED	ILLINOIS	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: 11/14/2023

NPI Synchronization or Removal

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