Active NPI
Affiliated Plastic Surgery
- Plastic Surgery Physician
- Chicago, IL
National Provider Identifier
1558567495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- AFFILIATED PLASTIC SURGERY
- Practice address
- 1725 W Harrison St
Suite 425
Chicago, IL 60612-3841 - Phone
- (312) 563-3000
- NPI assigned
- Jun 26, 2007
- Organization subpart
- Yes
- Parent organization
- RUSH UNIVERSITY MEDICAL CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian T Smith
- Title
- Vice President/Ao
- Phone
- (312) 942-6909
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | IL | Primary |
Addresses
Primary practice location
1725 W Harrison St
Suite 425
Chicago, IL 60612-3841
Mailing address
1725 W Harrison St
Suite 425
Chicago, IL 60612-3841
Phone (312) 563-3000
National Provider Directory
National Provider Directory- Part of
- University Anesthesiologists SC
Locations
1725 W Harrison St
Ste 970
Chicago, IL 60612
Phone (312) 563-3447
1725 W Harrison St
Ste 1010
Chicago, IL 60612
Phone (312) 942-5904
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic Surgery Physician
- Muskegon, MI
- NPI 1235197088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1407110400000",
"number": "1558567495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1725 W HARRISON ST",
"address_2": "SUITE 425",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123841",
"telephone_number": "312-563-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 W HARRISON ST",
"address_2": "SUITE 425",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123841",
"telephone_number": "312-563-3000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AFFILIATED PLASTIC SURGERY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RUSH UNIVERSITY MEDICAL CENTER",
"enumeration_date": "2007-06-26",
"last_updated": "2014-08-04",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "VICE PRESIDENT/AO",
"authorized_official_telephone_number": "312-942-6909"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "IL",
"license": null,
"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 Aug 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.