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DR. GARY S. CHURCHILL M.D. NPI 1740354679


NPI Information

NPI: 1740354679
Provider Name: DR. GARY S. CHURCHILL, M.D.
Classification: Clinic/Center - 261QA1903X
Entity Type: Individual

Specialization: Ambulatory Surgical

PECOS Registration: Yes

Address:
515 OLD NORTHWEST HWY
THE CENTER FOR FACIAL PLASTIC SURGERY
BARRINGTON, IL
ZIP 60010
Phone: (847) 304-1000
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DR. Gary S. Churchill, M.D. is an ambulatory surgical clinic center in Barrington, IL. DR. Gary S. Churchill, M.D. NPI is 1740354679. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

515 OLD NORTHWEST HWY
THE CENTER FOR FACIAL PLASTIC SURGERY
BARRINGTON, IL
ZIP 60010
Phone: (847) 304-1000
Fax: (847) 304-1182

The NPI 1740354679 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/20/2006 and was last updated on 11/4/2010.


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
1261QA1903XClinic/CenterAmbulatory Surgical036-079243ILLINOISYes

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
1421450MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
2L63393MEDICARE 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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.