NPIMap

Organization Active NPI

Global Facial Aesthetics PC

  • Dentist
  • River Forest, IL
National Provider Identifier
1659753481
Registry record updated Jun 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019015912 Issued in IL
Legal business name
GLOBAL FACIAL AESTHETICS PC
Practice address
404 Lathrop Ave
River Forest, IL 60305-1810
Phone
(708) 366-8909
NPI assigned
Jun 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2015

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

Authorized official

Name
Dr. Gary F Alder, DDSNPI 1669513826
Title
Owner
Phone
(708) 366-8909

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 019014782 IL
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 019015912 IL Primary

Addresses

Primary practice location

404 Lathrop Ave
River Forest, IL 60305-1810

Mailing address

404 Lathrop Ave
River Forest, IL 60305-1810
Phone (708) 366-8909

National Provider Directory

National Provider Directory

Locations

404 Lathrop Ave
River Forest, IL 60305
Phone (708) 366-8909

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": "1435536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435536000000",
    "number": "1659753481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 LATHROP AVE",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051810",
            "telephone_number": "708-366-8909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 LATHROP AVE",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051810",
            "telephone_number": "708-366-8909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOBAL FACIAL AESTHETICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-29",
        "last_updated": "2015-06-29",
        "status": "A",
        "authorized_official_last_name": "ALDER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-366-8909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019014782",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019015912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in River Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; 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.