Park Ridge Center For Plastic Surgery Inc

LBN: Park Ridge Center For Plastic Surgery Inc
Park Ridge Center For Plastic Surgery Inc is an health care organization with primary practice located at 444 N. Northwest Hwy , Park Ridge IL 60068. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Park Ridge Center For Plastic Surgery Inc can be contacted via phone (847) 696-9900, or through Speron, Sam via phone (847) 696-9900.

Contact Information

Primary practice address
444 N. Northwest Hwy Park Ridge IL 60068
Phone: (847) 696-9900
Fax: (847) 696-9913
Website:
Map and Directions
Authorized official contact:
Name: Speron, Sam Doctor of Medicine (MD)
Phone: (847) 696-9900

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 036093576 Illinois

Profile Details

NPI number 1043427826
LBN Legal business name Park Ridge Center For Plastic Surgery Inc
DBA Doing business as
Authorized official Speron, Sam Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2007
Last updated Apr 7th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043427826 NPPES
Illinois MEDICAID 036093576

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