Park Ridge Center for Plastic Surgery Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

036093576 Issued in IL

Legal business name

PARK RIDGE CENTER FOR PLASTIC SURGERY INC

Practice address

444 N. Northwest Hwy
Park Ridge, IL 60068

Phone

(847) 696-9900

Fax

(847) 696-9913

NPI assigned

May 17, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sam Speron, MD

Title

Doctor

Phone

(847) 696-9900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302134400000",
    "number": "1043427826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 N. NORTHWEST HWY",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "60068",
            "telephone_number": "847-696-9900",
            "fax_number": "847-696-9913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 N. NORTHWEST HWY",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "60068",
            "telephone_number": "847-696-9900",
            "fax_number": "847-696-9913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK RIDGE CENTER FOR PLASTIC SURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2011-04-07",
        "status": "A",
        "authorized_official_last_name": "SPERON",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "847-696-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "036093576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036093576",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Parikh
• Nidhi Parikh, DO
• Purvi Yogesh Parikh, M.D.
• Sravanthi Sesha Paritala
• Park Ridge Care Center, LTD.
• Park Ridge Chiropractic
• Park Ridge Counseling LLC
• Park Ridge Dental Associates
• Park Ridge Dentistry PLLC
• Park Ridge Endodontics

• Clinic/Center in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.