Park Ridge Center For Plastic Surgery Inc in Park Ridge - Clinic/center
Park Ridge Center For Plastic Surgery Inc - NPI 1043427826
Park Ridge Center For Plastic Surgery Inc is a Clinic/center in Park Ridge, Illinois. Park Ridge Center For Plastic Surgery Inc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Park Ridge Center For Plastic Surgery Inc is 1043427826. The last update date is 2011-04-07.
Park Ridge Center For Plastic Surgery Inc's current location address is 444 N. Northwest Hwy, Park Ridge, Illinois. You can contact this provider via phone number 8476969900 and fax number 8476969913. The mailing address for Park Ridge Center For Plastic Surgery Inc is 444 N. Northwest Hwy, Park Ridge, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Park Ridge Center For Plastic Surgery Inc |
|---|---|
| Address | 444 N. Northwest Hwy, Park Ridge, Illinois |
| Phone Number | 8476969900 |
| Fax Number | 8476969913 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DOCTOR |
|---|---|
| Authorized Official Name | Speron Sam |
| Credentials | MD |
| Telephone Number | 8476969900 |
NPI Number Detail
| NPI Number | 1043427826 |
|---|---|
| Provider Enumeration Date | 2007-05-17 |
| Last Updated Date | 2011-04-07 |
Provider Mailing Address Detail
| Address | 444 N. Northwest Hwy |
|---|---|
| City | Park Ridge |
| State | Illinois (IL) |
| Post Code | 60068 |
| Phone Number | 8476969900 |
| Fax Number | 8476969913 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | 36093576 |
|
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36093576 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Park Ridge Center For Plastic Surgery Inc by the Centers for Medicare & Medicaid Services?
The Park Ridge Center For Plastic Surgery Inc has been issued the NPI (National Provider Identifier) 1043427826, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Park Ridge Center For Plastic Surgery Inc?
The Park Ridge Center For Plastic Surgery Inc is physically situated at 444 N. Northwest Hwy, in the city of Park Ridge, state of IL, with the postal code 60068.
What is the Park Ridge Center For Plastic Surgery Inc's specialty and taxonomy code?
The Park Ridge Center For Plastic Surgery Inc's specialty is Clinic/center, and the corresponding taxonomy code is 261Q00000X.
When did Park Ridge Center For Plastic Surgery Inc receive its 1043427826 assignment?
The Park Ridge Center For Plastic Surgery Inc was assigned its 1043427826 on 2007-05-17, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Park Ridge Center For Plastic Surgery Inc most recently updated or revised?
The information pertaining to Park Ridge Center For Plastic Surgery Inc, including its address, specialty, and other relevant details, was last updated or revised on 2011-04-07.