The Physician'S Group S.C.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

036101413 Issued in IL

Legal business name

THE PHYSICIAN'S GROUP S.C.

Practice address

890 E Higgins Rd Ste 157
Schaumburg, IL 60173-4768

Phone

(800) 518-9307

NPI assigned

Jan 5, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Paul Christopher Dillon, M.D.

Title

President

Phone

(815) 353-0117

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1357344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583798400000",
    "number": "1770820144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 E HIGGINS RD STE 157",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734768",
            "telephone_number": "800-518-9307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 E HIGGINS RD STE 157",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734768",
            "telephone_number": "800-518-9307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PHYSICIAN'S GROUP S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-05",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-353-0117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "IL",
            "license": "036101413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Medical Information",
            "address_1": "890 E Higgins Rd Ste 157",
            "city": "Schaumburg",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601734768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.