Organization Active NPI

Plastic Surgery Chicago, LLC

  • Specialist
  • Chicago, IL
National Provider Identifier
1295284412
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
36.087851 Issued in IL
Legal business name
PLASTIC SURGERY CHICAGO, LLC
Practice address
60 E Delaware PL
#1430
Chicago, IL 60611-1495
Phone
(312) 337-7795
NPI assigned
Sep 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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

Authorized official

Name
Grace Carey
Title
Administrator
Phone
(312) 337-7795

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 36.087851 IL Primary

Addresses

Primary practice location

60 E Delaware PL
#1430
Chicago, IL 60611-1495

Mailing address

60 E Delaware PL
#1430
Chicago, IL 60611-1495
Phone (312) 337-7795

National Provider Directory

National Provider Directory

Locations

60 E Delaware Pl
Ste 1430
Chicago, IL 60611
Phone (312) 337-7795

NPI Registry JSON

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1295284412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 E DELAWARE PL",
            "address_2": "#1430",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606111495",
            "telephone_number": "312-337-7795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 E DELAWARE PL",
            "address_2": "#1430",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606111495",
            "telephone_number": "312-337-7795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY CHICAGO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-29",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "CAREY",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "312-337-7795"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "36.087851",
            "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 Sep 29, 2016; 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.