Active NPI
Whichdr Enterprises LTD
- Plastic and Reconstructive Surgery Physician
- Homewood, IL
National Provider Identifier
1851469274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 036092720
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffery S Flagg, DDS, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21623278 | Other | IL | BCBS |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Plastic and Reconstructive Surgery Physician
- Blacksburg, VA
- NPI 1043388465
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.