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NORTHWESTERN SPECIALISTS IN PLASTIC SURGERY S.C. NPI 1306079298


NPI Information

NPI: 1306079298
Provider Name: NORTHWESTERN SPECIALISTS IN PLASTIC SURGERY, S.C.
Classification: Plastic Surgery - 208200000X
Entity Type: Organization

CLIA Number: 14D0861435

Address:
676 N SAINT CLAIR ST
1525A
CHICAGO, IL
ZIP 60611
Phone: (312) 266-6240
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NORTHWESTERN SPECIALISTS IN PLASTIC SURGERY, S.C. is a plastic surgery in Chicago, 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. NORTHWESTERN SPECIALISTS IN PLASTIC SURGERY, S.C. NPI is 1306079298. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

676 N SAINT CLAIR ST
1525A
CHICAGO, IL
ZIP 60611-927
Phone: (312) 266-6240
Fax: (312) 266-1411

The provider's authorized official is Neil Fine .
The authorized official title is President and has the following contact phone number (312) 266-6240.

The CLIA number assigned to this NPI record is 14D0861435 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/26/2009 and was last updated on 3/9/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208200000XPlastic Surgery36-049906ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H80000MEDICARE UPINILLINOIS

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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