Organization Active NPI

The Aesthetic Plastic Surgery Center of Barrington, LLC

  • Plastic Surgery Physician
  • South Barrington, IL
National Provider Identifier
1861645178
Registry record updated Oct 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
036103581 Issued in IL
Legal business name
THE AESTHETIC PLASTIC SURGERY CENTER OF BARRINGTON, LLC
Practice address
20 Executive CT
Suite 3
South Barrington, IL 60010-9543
Phone
(847) 382-4160
NPI assigned
Oct 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2008

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

Authorized official

Name
Dr. Gregory Michael Bazell, MDNPI 1457487415
Title
Owner/Director
Phone
(847) 382-4160

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 Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 036103581 IL Primary

Addresses

Primary practice location

20 Executive CT
Suite 3
South Barrington, IL 60010-9543

Mailing address

20 Executive CT
Suite 3
South Barrington, IL 60010-9543
Phone (847) 382-4160

National Provider Directory

National Provider Directory

Locations

20 Executive Ct
Ste 3
South Barrington, IL 60010
Phone (847) 382-4160

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": "1225324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225324800000",
    "number": "1861645178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 EXECUTIVE CT",
            "address_2": "SUITE 3",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "600109543",
            "telephone_number": "847-382-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 EXECUTIVE CT",
            "address_2": "SUITE 3",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "600109543",
            "telephone_number": "847-382-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE AESTHETIC PLASTIC SURGERY CENTER OF BARRINGTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-30",
        "last_updated": "2008-10-30",
        "status": "A",
        "authorized_official_last_name": "BAZELL",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "847-382-4160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "IL",
            "license": "036103581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Barrington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; 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.