Organization Active NPI

Artisan Plastic Surgery, S.C.

  • Medical Specialty Clinic/Center
  • Joliet, IL
National Provider Identifier
1285701797
Registry record updated Mar 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
036-089059 Issued in IL
Legal business name
ARTISAN PLASTIC SURGERY, S.C.
Practice address
301 Madison St
Suite 303
Joliet, IL 60435-6549
Phone
(815) 730-9900
Fax
(815) 730-9940
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2010

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

Authorized official

Name
Dr. Susan M Schneider, M.D., F.A.C.S.
Title
Surgeon and Ceo
Phone
(815) 730-9900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 036-089059 IL Primary

Addresses

Primary practice location

301 Madison St
Suite 303
Joliet, IL 60435-6549

Mailing address

PO Box 95
Channahon, IL 60410-0095
Phone (815) 730-9900

National Provider Directory

National Provider Directory

Locations

301 Madison St
Ste 303
Joliet, IL 60435
Phone (815) 730-9900

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267488000000",
    "number": "1285701797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95",
            "city": "CHANNAHON",
            "state": "IL",
            "postal_code": "604100095",
            "telephone_number": "815-730-9900",
            "fax_number": "815-730-9940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MADISON ST",
            "address_2": "SUITE 303",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356549",
            "telephone_number": "815-730-9900",
            "fax_number": "815-730-9940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTISAN PLASTIC SURGERY, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2010-03-02",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SURGEON AND CEO",
        "authorized_official_telephone_number": "815-730-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., F.A.C.S."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": "036-089059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; 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.