Active NPI
Bariatric Specialists of Illinois
- Plastic Surgery Physician
- Belvidere, IL
National Provider Identifier
1740201755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- BARIATRIC SPECIALISTS OF ILLINOIS
- Practice address
- 1625 S State St
Belvidere, IL 61008-5907 - Phone
- (815) 544-1360
- Fax
- (815) 547-5394
- NPI assigned
- Jul 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Laurence Henry Lenz Jr.
- Title
- Executive Vice President
- Phone
- (734) 547-1114
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Plastic Surgery Physician | 208200000X | Primary | ||
| Surgery Physician | 208600000X |
Addresses
Primary practice location
1625 S State St
Belvidere, IL 61008-5907
Mailing address
135 S Prospect St
Ypsilanti, MI 48198-7914
Phone (734) 547-1114
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00432012 | Other | BCBS PROVIDER NUMBER |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1740201755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 S PROSPECT ST",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481987914",
"telephone_number": "734-547-1114",
"fax_number": "734-547-1145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 S STATE ST",
"city": "BELVIDERE",
"state": "IL",
"postal_code": "610085907",
"telephone_number": "815-544-1360",
"fax_number": "815-547-5394"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BARIATRIC SPECIALISTS OF ILLINOIS",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-22",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "LENZ",
"authorized_official_first_name": "LAURENCE",
"authorized_official_middle_name": "HENRY",
"authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
"authorized_official_telephone_number": "734-547-1114",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "00432012",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Belvidere, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.