Opus Plastic Surgery LTD.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

OPUS PLASTIC SURGERY LTD.

Practice address

1335 W Barry Ave
Chicago, IL 60657-4211

Phone

(312) 919-1229

Fax

(847) 885-1212

NPI assigned

Oct 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Stefan Mark Szczerba, M.D.NPI 1881685873

Title

Chief Executive Officer

Phone

(312) 919-1229

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stefan M Szczerba, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Chicago, IL
  • NPI 1881685873
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1427247733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 W BARRY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574211",
            "telephone_number": "312-919-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 W BARRY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574211",
            "telephone_number": "312-919-1229",
            "fax_number": "847-885-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPUS PLASTIC SURGERY LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "SZCZERBA",
        "authorized_official_first_name": "STEFAN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "312-919-1229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Plastic Surgery Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Plastic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.