NPIMap

Organization Active NPI

Flawless, S.C.

  • Surgery Physician
  • Chicago, IL
National Provider Identifier
1225320815
Registry record updated May 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036079325 Issued in IL
Legal business name
FLAWLESS, S.C.
Practice address
8222 S King Dr
Chicago, IL 60619-4964
Phone
(312) 222-0030
Fax
(773) 873-4060
NPI assigned
May 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2011

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

Authorized official

Name
Dr. Elton X Tinsley, M.D.
Title
Ceo
Phone
(312) 222-0030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 036079325 IL Primary

Addresses

Primary practice location

8222 S King Dr
Chicago, IL 60619-4964

Mailing address

PO Box 804193
Chicago, IL 60680-4103
Phone (312) 222-0030

National Provider Directory

National Provider Directory
Tax ID family
Flawless SC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1305331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305331200000",
    "number": "1225320815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 804193",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606804103",
            "telephone_number": "312-222-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8222 S KING DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606194964",
            "telephone_number": "312-222-0030",
            "fax_number": "773-873-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAWLESS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-14",
        "last_updated": "2011-05-14",
        "status": "A",
        "authorized_official_last_name": "TINSLEY",
        "authorized_official_first_name": "ELTON",
        "authorized_official_middle_name": "X",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-222-0030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": "036079325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.