Active NPI
Colleen Puccini, APRN
- Plastic and Reconstructive Surgery Physician
- Rosemont, IL
National Provider Identifier
1366014664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 209.023490
- Practice address
- 10400 W Higgins Rd Ste 100
Rosemont, IL 60018-3703 - Phone
- (847) 416-2625
- NPI assigned
- Jul 15, 2021
- Last updated
- Oct 26, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 209.023490 | IL | Primary |
Addresses
Primary practice location
10400 W Higgins Rd Ste 100
Rosemont, IL 60018-3703
Mailing address
1365 Spaulding Rd
Bartlett, IL 60103-1205
Phone (630) 456-8598
Other practice location 1
2500 W Higgins Rd Ste 380
Hoffman Estates, IL 60169-7220
Phone (847) 416-2625
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | casi@casi-nd.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.023490 | IL | MD | Plastic and Reconstructive Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666742400000",
"number": "1366014664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1365 SPAULDING RD",
"city": "BARTLETT",
"state": "IL",
"postal_code": "601031205",
"telephone_number": "630-456-8598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10400 W HIGGINS RD STE 100",
"city": "ROSEMONT",
"state": "IL",
"postal_code": "600183703",
"telephone_number": "847-416-2625"
}
],
"practiceLocations": [
{
"address_1": "2500 W Higgins Rd Ste 380",
"address_purpose": "LOCATION",
"city": "Hoffman Estates",
"state": "IL",
"postal_code": "601697220",
"country_code": "US",
"telephone_number": "847-416-2625",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PUCCINI",
"first_name": "COLLEEN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-15",
"last_updated": "2022-10-26",
"certification_date": "2022-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "IL",
"license": "209.023490",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "casi@casi-nd.com",
"affiliation": "N",
"endpointDescription": "company email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "10400 W Higgins Rd Ste 100",
"city": "Rosemont",
"state": "IL",
"country_code": "US",
"postal_code": "600183703",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Rosemont, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.