Iomd Plastic Surgery Services, LLC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

036113232 Issued in IL

Legal business name

IOMD PLASTIC SURGERY SERVICES, LLC

Practice address

3050 Finley Rd
Suite 300B
Downers Grove, IL 60515-1196

Phone

(331) 777-9955

Fax

(331) 777-9954

NPI assigned

Feb 22, 2016

Organization subpart

No

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

Authorized official

Name

Robert Paresi, MD

Title

Owner

Phone

(312) 810-5296

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1881053668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 FINLEY RD",
            "address_2": "SUITE 300B",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151196",
            "telephone_number": "331-777-9955",
            "fax_number": "331-777-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 FINLEY RD",
            "address_2": "SUITE 300B",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151196",
            "telephone_number": "331-777-9955",
            "fax_number": "331-777-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOMD PLASTIC SURGERY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-03-24",
        "status": "A",
        "authorized_official_last_name": "PARESI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-810-5296",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "IL",
            "license": "036113232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Plastic and Reconstructive Surgery Physician in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Plastic and Reconstructive Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; 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.