Active NPI
Plastic Surgery Consultants LTD
- Plastic Surgery Physician
- Wheaton, IL
National Provider Identifier
1023133071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 036070575
- Legal business name
- PLASTIC SURGERY CONSULTANTS LTD
- Practice address
- 199 Town SQ
Suite E
Wheaton, IL 60189-3878 - Phone
- (630) 462-6858
- Fax
- (630) 462-1013
- NPI assigned
- Mar 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael A Marschall, M.D.
- Title
- President
- Phone
- (630) 462-6858
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 036071166 | IL | |
| Plastic Surgery Physician | 208200000X | 036070575 | IL | Primary |
Addresses
Primary practice location
199 Town SQ
Suite E
Wheaton, IL 60189-3878
Mailing address
199 Town SQ
Suite E
Wheaton, IL 60189-3878
Phone (630) 462-6858
National Provider Directory
National Provider DirectoryLocations
630 N Washington St
Naperville, IL 60563
Phone (331) 253-5750
199 Town Sq
Ste E
Wheaton, IL 60189
Phone (630) 462-6858
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Procedural Dermatology Physician
- Saint Joseph, MI
- NPI 1952319303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339632000000",
"number": "1023133071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "199 TOWN SQ",
"address_2": "SUITE E",
"city": "WHEATON",
"state": "IL",
"postal_code": "601893878",
"telephone_number": "630-462-6858",
"fax_number": "630-462-1013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 TOWN SQ",
"address_2": "SUITE E",
"city": "WHEATON",
"state": "IL",
"postal_code": "601893878",
"telephone_number": "630-462-6858",
"fax_number": "630-462-1013"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLASTIC SURGERY CONSULTANTS LTD",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-20",
"last_updated": "2012-06-14",
"status": "A",
"authorized_official_last_name": "MARSCHALL",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-462-6858",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": "IL",
"license": "036071166",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "IL",
"license": "036070575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.