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CHICAGO OCULOFACIAL PLASTIC SURGERY S.C. NPI 1184296972


NPI Information

NPI: 1184296972
Provider Name: CHICAGO OCULOFACIAL PLASTIC SURGERY, S.C.
Classification: Ophthalmology - 207WX0200X
Entity Type: Organization

Specialization: Ophthalmic Plastic and Reconstructive Surgery

CLIA Number: 14D2285952

Address:
2001 N HALSTED ST STE 200
CHICAGO, IL
ZIP 60614
Phone: (312) 888-6764
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CHICAGO OCULOFACIAL PLASTIC SURGERY, S.C. is an ophthalmic plastic and reconstructive surgery ophthalmology in Chicago, IL. The provider is a physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck. CHICAGO OCULOFACIAL PLASTIC SURGERY, S.C. NPI is 1184296972. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2001 N HALSTED ST STE 200
CHICAGO, IL
ZIP 60614-365
Phone: (312) 888-6764

The provider's authorized official is Paul Owen Phelps .
The authorized official title is President and has the following contact phone number (312) 888-5754.

The CLIA number assigned to this NPI record is 14D2285952 - other - office based surgery ctr with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/12/2021 and was last updated on 12/20/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207WX0200XOphthalmologyOphthalmic Plastic and Reconstructive SurgeryYes

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: 4/28/2024

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