Aesthetic and Reconstructive Surgery, S.C.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

036-072742 Issued in IL

Legal business name

AESTHETIC AND RECONSTRUCTIVE SURGERY, S.C.

Doing business as

The Elysa Fisher Women's LifeCenter

Practice address

118 Skokie Blvd
Wilmette, IL 60091-3050

Phone

(847) 256-9400

Fax

(847) 256-9412

NPI assigned

Jan 2, 2008

Last updated

Mar 3, 2009By 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

Mrs. Geralyn B Walsh

Title

Business Manager

Phone

(847) 256-9400

Specialties & licenses 1

Addresses

Other names 1

• The Elysa Fisher Women's LifeCenter Doing business as

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.

• Elysa B Fisher

  • Specialist
  • Wilmette, IL
  • NPI 1134250095
  NPD (past)

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236038400000",
    "number": "1407031057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 SKOKIE BLVD",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600913050",
            "telephone_number": "847-256-9400",
            "fax_number": "847-256-9412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 SKOKIE BLVD",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600913050",
            "telephone_number": "847-256-9400",
            "fax_number": "847-256-9412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC AND RECONSTRUCTIVE SURGERY, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2009-03-03",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "GERALYN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "847-256-9400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "IL",
            "license": "036-072742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Elysa Fisher Women's LifeCenter",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Iyabode Oladunni Adejumo, CNM
• Adina Kleiman, PHD, LTD
• Advanced Medical Professionals PC (LakePointe Urgent Care)
• Advocate Health and Hospitals Corporation (High Tech Imaging Specialists)
• Advocate Health and Hospitals Corporation (Advocate Medical Group)
• Christian James Ahlstrom, MAT, LAT, ATC
• Seonghan Ahn
• Sheila Ahranjani, PHARM.D.
• John Trinidad Alano
• Lisa Braband Albrighton, P.T.

• Plastic and Reconstructive Surgery Physician in Wilmette, IL
• Providers in Wilmette, IL by specialty
• Plastic and Reconstructive Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; 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.