Dupage Plastic Surgery, LTD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

036102621 Issued in IL

Legal business name

DUPAGE PLASTIC SURGERY, LTD

Practice address

1307 Macom Dr
Naperville, IL 60564-3202

Phone

(630) 717-6000

Fax

(630) 717-6777

NPI assigned

Apr 5, 2006

Last updated

Oct 14, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William John Bull Jr., MDNPI 1417956947

Title

Physician

Phone

(630) 717-6000

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William John Bull Jr., MD

  • Specialist
  • Naperville, IL
  • NPI 1417956947
  Authorized official Same address or phone

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1730141631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 MACOM DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605643202",
            "telephone_number": "630-717-6000",
            "fax_number": "630-717-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 MACOM DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605643202",
            "telephone_number": "630-717-6000",
            "fax_number": "630-717-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUPAGE PLASTIC SURGERY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "BULL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "630-717-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "IL",
            "license": "036102621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dupage Medical Group, LTD.
• Dupage Medical Group, LTD.
• Dupage Pain Center
• Dupage Pain Consultants, LLC
• Dupage Pediatric Surgery SC
• Dupage Prosthetic-Orthotic Service Inc.
• Dupage Psychological Associates LTD
• Dupage Rehabilitation, Inc.
• Dupage Urology Associates, LTD.
• Dupage Valley Anesthesiologists, LTD.

• Plastic Surgery Physician in Naperville, IL
• Providers in Naperville, 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 14, 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.