NPIMap

Organization Active NPI

JW Operatory

  • Plastic and Reconstructive Surgery Physician
  • Highland Park, IL
National Provider Identifier
1578068524
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
JW OPERATORY
Practice address
1811 Saint Johns Ave Ste 100
Highland Park, IL 60035-5607
Phone
(312) 642-0400
NPI assigned
Mar 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Authorized official

Name
Kyle Battles
Title
Billing Director
Phone
(708) 669-9314

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X Primary

Addresses

Primary practice location

1811 Saint Johns Ave Ste 100
Highland Park, IL 60035-5607

Mailing address

1811 Saint Johns Ave Ste 100
Highland Park, IL 60035-5607

National Provider Directory

National Provider Directory

Locations

1811 Saint Johns Ave
Ste 100
Highland Park, IL 60035
Phone (312) 642-0400

Practitioners & affiliated clinicians

Practitioners 3

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": "1522281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522281600000",
    "number": "1578068524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 SAINT JOHNS AVE STE 100",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600355607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 SAINT JOHNS AVE STE 100",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600355607",
            "telephone_number": "312-642-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JW OPERATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-29",
        "last_updated": "2018-03-29",
        "status": "A",
        "authorized_official_last_name": "BATTLES",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "708-669-9314"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.