Northern Illinois Plastic Surgery Consultants LTD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

NORTHERN ILLINOIS PLASTIC SURGERY CONSULTANTS LTD

Practice address

2127 Midlands CT
102
Sycamore, IL 60178-3173

Phone

(815) 758-3057

Fax

(630) 323-2391

NPI assigned

Oct 18, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Richard Kopolovic, MDNPI 1699853077

Title

MD

Phone

(630) 323-2369

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Kopolovic, MD

  • Plastic Surgery Physician
  • Hinsdale, IL
  • NPI 1699853077
  Authorized official Same address or phone

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1225119928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N YORK RD",
            "address_2": "SUITE 201",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "60521",
            "telephone_number": "630-323-2369",
            "fax_number": "630-323-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 MIDLANDS CT",
            "address_2": "102",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783173",
            "telephone_number": "815-758-3057",
            "fax_number": "630-323-2391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN ILLINOIS PLASTIC SURGERY CONSULTANTS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KOPOLOVIC",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "630-323-2369",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul H Nguyen, M.D.
• Anita Nelson Niehues, M.S.,OTR
• Megan Elizabeth Noren, PSY.D.
• Northern Illinois ENT Specialists LTD
• Northern Illinois Foot & Ankle Specialist, LTD
• Northern Illinois Sleep Center, S.C
• Northern Open MRI LLC
• Northwestern Illinois Assoication
• Northwestern Medical Faculty Foundation (Northwestern Medical Group)
• Narumi O'Hara, MD

• Plastic Surgery Physician in Sycamore, IL
• Providers in Sycamore, IL by specialty
• Plastic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.