Northern Illinois Plastic Surgery in Niles - Plastic Surgery
Northern Illinois Plastic Surgery - NPI 1831137520
Northern Illinois Plastic Surgery is a Plastic Surgery in Niles, Illinois. Northern Illinois Plastic Surgery practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Northern Illinois Plastic Surgery is 1831137520. The last update date is 2020-08-22.
Northern Illinois Plastic Surgery's current location address is 8135 N Milwaukee Ave, Niles, Illinois. You can contact this provider via phone number 8479671149 and fax number 8479678594. The mailing address for Northern Illinois Plastic Surgery is 8135 N Milwaukee Ave, Niles, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northern Illinois Plastic Surgery |
|---|---|
| Address | 8135 N Milwaukee Ave, Niles, Illinois |
| Phone Number | 8479671149 |
| Fax Number | 8479678594 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Roberg C. Bradford |
| Credentials | M.D. |
| Telephone Number | 8479671149 |
NPI Number Detail
| NPI Number | 1831137520 |
|---|---|
| Provider Enumeration Date | 2006-06-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 8135 N Milwaukee Ave |
|---|---|
| City | Niles |
| State | Illinois (IL) |
| Post Code | 607142828 |
| Phone Number | 8479671149 |
| Fax Number | 8479678594 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery |
|---|---|
| Taxonomy | 208200000X |
|
Definition: 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 c |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 732007 | IL | BLUE SHIELD OF ILLINOIS |
Post Comment/ Review Below
What is the unique identifier code issued to Northern Illinois Plastic Surgery by the Centers for Medicare & Medicaid Services?
The Northern Illinois Plastic Surgery has been assigned the NPI (National Provider Identifier) 1831137520. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Northern Illinois Plastic Surgery?
The Northern Illinois Plastic Surgery is physically situated at 8135 N Milwaukee Ave, in the city of Niles, state of IL, with the postal code 607142828.
What is the area of specialization for Northern Illinois Plastic Surgery, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Northern Illinois Plastic Surgery is Plastic Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 208200000X.
On what date did the Northern Illinois Plastic Surgery receive the assignment of its 1831137520 from the Centers for Medicare & Medicaid Services?
The Northern Illinois Plastic Surgery was issued its 1831137520 by the Centers for Medicare & Medicaid Services on 2006-06-03.
As of what date were the details pertaining to Northern Illinois Plastic Surgery last refreshed?
The information related to the Northern Illinois Plastic Surgery, including its address, specialty, and other relevant details, was last updated on 2020-08-22.