Organization Active NPI

Whichdr Enterprises LTD

  • Plastic and Reconstructive Surgery Physician
  • Homewood, IL
National Provider Identifier
1851469274
Registry record updated Apr 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
036092720 Issued in IL
Legal business name
WHICHDR ENTERPRISES LTD
Practice address
1820 Ridge Rd Ste 301
Homewood, IL 60430-1759
Phone
(708) 922-1108
Fax
(708) 922-1236
NPI assigned
Dec 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2009

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

Authorized official

Name
Jeffery S Flagg, DDS, MDNPI 1043388465
Title
President
Phone
(708) 922-1108

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X 036092720 IL Primary

Addresses

Primary practice location

1820 Ridge Rd Ste 301
Homewood, IL 60430-1759

Mailing address

18600 Golf LN
Hazel Crest, IL 60429
Phone (708) 922-1108

Other identifiers 1

IdentifierTypeStateIssuer
21623278OtherILBCBS

National Provider Directory

National Provider Directory

Locations

1820 Ridge Rd
Ste 303
Homewood, IL 60430
Phone (708) 922-1108

1820 Ridge Rd
Ste 301
Homewood, IL 60430
Phone (708) 922-1108

Practitioners & affiliated clinicians

Practitioners 1

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": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239580800000",
    "number": "1851469274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18600 GOLF LN",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "60429",
            "telephone_number": "708-922-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 RIDGE RD STE 301",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301759",
            "telephone_number": "708-922-1108",
            "fax_number": "708-922-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHICHDR ENTERPRISES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2009-04-13",
        "status": "A",
        "authorized_official_last_name": "FLAGG",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-922-1108",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "IL",
            "license": "036092720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "21623278",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; 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.