Beaute Emergente Llc in Rockford - Plastic Surgery

Beaute Emergente Llc - NPI 1114047586

Beaute Emergente Llc is a Plastic Surgery in Rockford, Illinois. Beaute Emergente Llc practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Beaute Emergente Llc is 1114047586. The last update date is 2013-06-06.

Beaute Emergente Llc's current location address is 3065 N Perryville Rd, Rockford, Illinois. You can contact this provider via phone number 8153973373. The mailing address for Beaute Emergente Llc is 3065 N Perryville Rd, Rockford, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Beaute Emergente Llc
Address 3065 N Perryville Rd, Rockford, Illinois
Phone Number 8153973373
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Mcadoo S James
Credentials DO
Telephone Number 8156338586

NPI Number Detail

NPI Number 1114047586
Provider Enumeration Date 2007-03-30
Last Updated Date 2013-06-06

Provider Mailing Address Detail

Address 3065 N Perryville Rd
City Rockford
State Illinois (IL)
Post Code 611148053
Phone Number 8153973373
Fax Number

Provider's Primary Taxonomy Detail

Speciality Plastic Surgery
Taxonomy 208200000X
Licence No 36111771
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
36111771 IL --

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FAQs about Beaute Emergente Llc

What is the unique 10-digit identification code issued to Beaute Emergente Llc by the Centers for Medicare & Medicaid Services?

The Beaute Emergente Llc has been assigned the NPI (National Provider Identifier) 1114047586 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Beaute Emergente Llc's physical address?

The Beaute Emergente Llc is physically located at 3065 N Perryville Rd, in the city of Rockford, IL, with the postal code 611148053.

What is the area of specialization for Beaute Emergente Llc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Beaute Emergente Llc is Plastic Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 208200000X.

On what date was the 1114047586 assigned to Beaute Emergente Llc?

The Beaute Emergente Llc was issued its 1114047586 on 2007-03-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Beaute Emergente Llc's information last updated?

The Beaute Emergente Llc's information was last updated on 2013-06-06.

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