Oak Brook Plastic Surgery LLC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

OAK BROOK PLASTIC SURGERY LLC

Practice address

5669 W 95TH St
Oak Lawn, IL 60453-2382

Phone

(708) 422-4180

NPI assigned

Oct 7, 2009

Organization subpart

No

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

Authorized official

Name

Sai Ramasastry

Title

MD

Phone

(708) 422-4180

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271980800000",
    "number": "1609101773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5669 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532382",
            "telephone_number": "708-422-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5669 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532382",
            "telephone_number": "708-422-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK BROOK PLASTIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-07",
        "last_updated": "2010-04-23",
        "status": "A",
        "authorized_official_last_name": "RAMASASTRY",
        "authorized_official_first_name": "SAI",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "708-422-4180"
    },
    "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": []
}

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• Plastic and Reconstructive Surgery Physician in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Plastic and Reconstructive Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; 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.