Active NPI
Barrington Plastic Surgery, LTD
- Plastic Surgery Physician
- Inverness, IL
National Provider Identifier
1114112554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- BARRINGTON PLASTIC SURGERY, LTD
- Practice address
- 1602 W Colonial Pkwy
Inverness, IL 60067-1215 - Phone
- (847) 358-9444
- NPI assigned
- Sep 10, 2007
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Christopher Vincent Pelletiere, MD
- Title
- Physician
- Phone
- (847) 358-9444
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery of the Hand (Plastic Surgery) Physician
- Inverness, IL
- NPI 1528086725
IL, Plastic Surgery
-
- Surgery of the Hand (Plastic Surgery) Physician
- Inverness, IL
- NPI 1053339259
IL, Plastic Surgery
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050207000463 | IL | Part B Supplier - Clinic/Group Practice | 7315998432 |
Receives reassigned benefits from 2 practitioners Practice locations: Inverness, IL |
National Provider Directory
National Provider DirectoryLocations
1602 W Colonial Pkwy
Inverness, IL 60067
Phone (847) 358-9444
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | IL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1602 W Colonial Pkwy
Inverness, IL 60067-1215
Mailing address
1602 W Colonial Pkwy
Inverness, IL 60067-1215
Phone (847) 358-9444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 10, 2007.
{
"created_epoch": "1189382400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1189382400000",
"number": "1114112554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1602 W COLONIAL PKWY",
"city": "INVERNESS",
"state": "IL",
"postal_code": "600671215",
"telephone_number": "847-358-9444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1602 W COLONIAL PKWY",
"city": "INVERNESS",
"state": "IL",
"postal_code": "600671215",
"telephone_number": "847-358-9444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BARRINGTON PLASTIC SURGERY, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-10",
"last_updated": "2007-09-10",
"status": "A",
"authorized_official_last_name": "PELLETIERE",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "VINCENT",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "847-358-9444",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Inverness, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.