Midwest Plastic& Reconstructive Surgery in Chicago - Plastic And Reconstructive Surgery
Midwest Plastic& Reconstructive Surgery - NPI 1316110737
Midwest Plastic& Reconstructive Surgery is a Plastic And Reconstructive Surgery in Chicago, Illinois. Midwest Plastic& Reconstructive Surgery practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Midwest Plastic& Reconstructive Surgery is 1316110737. The last update date is 2008-07-21.
Midwest Plastic& Reconstructive Surgery's current location address is 5645 W Addison St, Chicago, Illinois. You can contact this provider via phone number 8477294879 and fax number 7735275070. The mailing address for Midwest Plastic& Reconstructive Surgery is 5645 W Addison St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Midwest Plastic& Reconstructive Surgery |
|---|---|
| Address | 5645 W Addison St, Chicago, Illinois |
| Phone Number | 8477294879 |
| Fax Number | 7735275070 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Ostric Srdjan |
| Telephone Number | 3123752076 |
NPI Number Detail
| NPI Number | 1316110737 |
|---|---|
| Provider Enumeration Date | 2008-04-07 |
| Last Updated Date | 2008-07-21 |
Provider Mailing Address Detail
| Address | 5645 W Addison St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606344403 |
| Phone Number | 8477294879 |
| Fax Number | 7735275070 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic And Reconstructive Surgery |
|---|---|
| Taxonomy | 2086S0122X |
| Licence No | 36107060 |
|
Definition: A surgeon who specializes in plastic and reconstructive surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 036-107060 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Midwest Plastic& Reconstructive Surgery by the Centers for Medicare & Medicaid Services?
The Midwest Plastic& Reconstructive Surgery has been assigned the NPI (National Provider Identifier) 1316110737 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Midwest Plastic& Reconstructive Surgery is physically located?
The Midwest Plastic& Reconstructive Surgery is physically situated at the following address: 5645 W Addison St, Chicago, IL, 606344403.
What is the Midwest Plastic& Reconstructive Surgery's area of specialization and corresponding taxonomy classification?
The Midwest Plastic& Reconstructive Surgery's specialty field is Plastic And Reconstructive Surgery, and it falls under the taxonomy code 2086S0122X, which categorizes healthcare providers based on their specialties.
When did Midwest Plastic& Reconstructive Surgery receive its 1316110737 assignment?
The Midwest Plastic& Reconstructive Surgery was assigned its 1316110737 on 2008-04-07, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Midwest Plastic& Reconstructive Surgery, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Midwest Plastic& Reconstructive Surgery, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-07-21.