Health & Renewal Plastic Surgery Associates, S.C.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

HEALTH & RENEWAL PLASTIC SURGERY ASSOCIATES, S.C.

Practice address

3845 McCoy Dr
Suite 101
Aurora, IL 60504-4105

Phone

(630) 952-1400

NPI assigned

May 29, 2008

Organization subpart

No

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

Authorized official

Name

Mark A Grevious, M.D.

Title

President

Phone

(630) 952-1400

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1568620144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 W OHIO ST UNIT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606228901",
            "telephone_number": "630-952-1400",
            "fax_number": "630-952-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3845 MCCOY DR",
            "address_2": "SUITE 101",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044105",
            "telephone_number": "630-952-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH & RENEWAL PLASTIC SURGERY ASSOCIATES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "GREVIOUS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-952-1400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036100551",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clarissa F Havel
• Haven Bridge Counseling & Wellness PLLC
• Jana Hayes, LCSW
• Liam Hayles
• Daniel Haywood
• Healthvue Inc.
• Healthy Futures Chiropractic, LTD. (Healthy Futures Chiropractic)
• Robert W Healy, LSW
• Heart Horizons LLC Dba Rush Copley Cardiac Diagnostic Center
• Heart of the Lamb Christian Counseling Center

• Plastic Surgery Physician in Aurora, IL
• Providers in Aurora, 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 Aug 11, 2008; 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.