Active NPI
North Shore Center for Facial Plastic and Cosmetic Surgery
- Ambulatory Surgical Clinic/Center
- Northfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 036050050
- Legal business name
- NORTH SHORE CENTER FOR FACIAL PLASTIC AND COSMETIC SURGERY
- Practice address
- 330 W Frontage Rd
Northfield, IL 60093-3467 - Phone
- (847) 441-4441
- Fax
- (847) 784-9744
- NPI assigned
- Mar 2, 2011
- Last updated
- Nov 24, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Anthony J Geroulis, M.D.
- Title
- Medical Director President
- Phone
- (847) 441-4441
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 036050050 | IL | Primary |
Addresses
Primary practice location
330 W Frontage Rd
Northfield, IL 60093-3467
Mailing address
330 W Frontage Rd
Northfield, IL 60093-3467
Phone (847) 441-4441
National Provider Directory
National Provider Directory- Tax ID family
- Anthony J Geroulis MD SC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba N Shore Cntr Facial Plastic & Cosmetic Surg.
- Otolaryngology Physician
- Northfield, IL
- NPI 1063801033
Practitioners & affiliated clinicians
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.
-
- Otolaryngology/Facial Plastic Surgery Physician
- Northfield, IL
- NPI 1982769717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1448323200000",
"number": "1477851343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 W FRONTAGE RD",
"city": "NORTHFIELD",
"state": "IL",
"postal_code": "600933467",
"telephone_number": "847-441-4441",
"fax_number": "847-784-9744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 W FRONTAGE RD",
"city": "NORTHFIELD",
"state": "IL",
"postal_code": "600933467",
"telephone_number": "847-441-4441",
"fax_number": "847-784-9744"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH SHORE CENTER FOR FACIAL PLASTIC AND COSMETIC SURGERY",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-02",
"last_updated": "2015-11-24",
"status": "A",
"authorized_official_last_name": "GEROULIS",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "MEDICAL DIRECTOR PRESIDENT",
"authorized_official_telephone_number": "847-441-4441",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "IL",
"license": "036050050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.