FENDON PLASTIC SURGERY SC NPI 1861585390

NPI Information

  • NPI: 1861585390
  • Provider Name: FENDON PLASTIC SURGERY SC
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Organization
  • Address: 1435 N. RANDALL ROAD
    SUITE 400
    ELGIN, IL
    ZIP 60123
  • Phone: (847) 531-6340

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NPI Details

FENDON PLASTIC SURGERY SC is a plastic and reconstructive surgery surgery in Elgin, IL. The provider is a surgeon who specializes in plastic and reconstructive surgery. FENDON PLASTIC SURGERY SC NPI is 1861585390. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1435 N. RANDALL ROAD
SUITE 400
ELGIN, IL
ZIP 60123
Phone: (847) 531-6340
Fax: (847) 531-6340

The provider's authorized official is Thomas H Fendon .
The authorized official title is President and has the following contact phone number (847) 531-6340.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 5/26/2022.

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
12086S0122XSurgeryPlastic and Reconstructive Surgery036074699ILLINOISYes

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: 11/21/2025

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