Active NPI
Chicago Oculofacial Plastic Surgery, S.C.
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Legal business name
- CHICAGO OCULOFACIAL PLASTIC SURGERY, S.C.
- Practice address
- 2001 N Halsted St Ste 200
Chicago, IL 60614-4365 - Phone
- (312) 888-6764
- NPI assigned
- Jul 12, 2021
- 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
- Dr. Paul Owen Phelps, MD
- Title
- President
- Phone
- (312) 888-5754
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X | Primary |
Addresses
Primary practice location
2001 N Halsted St Ste 200
Chicago, IL 60614-4365
Mailing address
2001 N Halsted St Ste 200
Chicago, IL 60614-4365
Phone (312) 888-5754
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2285952 | Chicago Oculofacial Plastic Surgery | Certificate of waiver | Jul 19, 2027 |
National Provider Directory
National Provider DirectoryLocations
2001 N Halsted St
Ste 200
Chicago, IL 60614
Phone (312) 888-5754
Interoperability endpoints
- https://api.platform.athenahealth.com/24139/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Chicago, IL
- NPI 1003131657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626048000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771372800000",
"number": "1184296972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 N HALSTED ST STE 200",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606144365",
"telephone_number": "312-888-5754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 N HALSTED ST STE 200",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606144365",
"telephone_number": "312-888-6764"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHICAGO OCULOFACIAL PLASTIC SURGERY, S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-12",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A",
"authorized_official_last_name": "PHELPS",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "OWEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "312-888-5754",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207WX0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
- Chicago Nose and Sinus LLC
- Chicago Nurse Midwife LLC
- Chicago Nutrition Clinic LLC
- Chicago OB-GYN Ultrasound SC
- Chicago Ocd & Trauma Therapy
- Chicago Ophthalmology, P.C.
- Chicago Oral & Maxillofacial Surgery
- Chicago Orthopaedic & Sports Medicine SC
- Chicago Orthopaedic & Sports Medicine SC
- Chicago Orthopaedics and Sports Medicine SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.