Organization Active NPI

Affiliated Plastic Surgery

  • Plastic Surgery Physician
  • Chicago, IL
National Provider Identifier
1558567495
Registry record updated Aug 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
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 CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 4, 2014

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)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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.

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.

Verify at the official NPI Registry.