Cosmetic & Plastic Surgery Associates MD SC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

036060117 Issued in IL

Legal business name

COSMETIC & PLASTIC SURGERY ASSOCIATES MD SC

Practice address

1786 Moon Lake Blvd
Suite 205
Hoffman Estates, IL 60169-1067

Phone

(847) 885-1200

Fax

(847) 885-1212

NPI assigned

Dec 14, 2006

Organization subpart

No

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

Authorized official

Name

Philip N Bushnick, M.D.

Title

President/Owner

Phone

(847) 885-1200

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356652800000",
    "number": "1629130059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1786 MOON LAKE BLVD",
            "address_2": "SUITE 205",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691067",
            "telephone_number": "847-885-1200",
            "fax_number": "847-885-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1786 MOON LAKE BLVD",
            "address_2": "SUITE 205",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691067",
            "telephone_number": "847-885-1200",
            "fax_number": "847-885-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMETIC & PLASTIC SURGERY ASSOCIATES MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2012-12-28",
        "status": "A",
        "authorized_official_last_name": "BUSHNICK",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "847-885-1200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "IL",
            "license": "036060117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1625882",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036060117",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laisha Jazmin Cornejo
• Kristine Marie Corrado
• Alycia Corral, PA-C
• Mayra Correa
• Michaela Cortez
• Lauren Nicole Cossentino, RBT
• Sophie Cotseones
• Erin Carol Coughlin
• Covenant Physiatry,SC
• Jennifer Cox, CRNA

• Plastic and Reconstructive Surgery Physician in Hoffman Estates, IL
• Providers in Hoffman Estates, 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 Dec 28, 2012; 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.