Warner Aesthetic & Reconstructive Institute

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

036122969 Issued in IL

Legal business name

WARNER AESTHETIC & RECONSTRUCTIVE INSTITUTE

Practice address

436 W. Frontage Road
Suite 200
Northfield, IL 60093-3083

Phone

(847) 558-8888

Fax

(847) 984-1888

NPI assigned

Jul 8, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Jeremy Warner, M.D.NPI 1881637098

Title

Physician

Phone

(847) 558-8888

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeremy Patrick Warner, M.D.

  • Plastic Surgery Physician
  • Northfield, IL
  • NPI 1881637098
  Medicare reassignment Care Compare group NPD Authorized official
• Krishnabhai Patel, M.D.

  • Plastic Surgery Physician
  • Northfield, IL
  • NPI 1245688274
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1499472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1720500085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 W. FRONTAGE ROAD",
            "address_2": "SUITE 200",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933083",
            "telephone_number": "847-558-8888",
            "fax_number": "847-984-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 W. FRONTAGE ROAD",
            "address_2": "SUITE 200",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933083",
            "telephone_number": "847-558-8888",
            "fax_number": "847-984-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARNER AESTHETIC & RECONSTRUCTIVE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-08",
        "last_updated": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "847-558-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "IL",
            "license": "036122969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• David Moulton Walton, PH.D.
• Wanderlust Eyecare, P.C.
• James Parker Ward, LCSW
• Meleta Jacobs Ward, LIC CLIN SOC WORKER
• Jeremy Patrick Warner, M.D.
• Antonia Warren, LCSW
• Michelle Warzeck
• Daniel Philip Wasserman, MD
• Linda J Watson, PSYD

• Plastic Surgery Physician in Northfield, IL
• Providers in Northfield, 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 Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.