NORTHWESTERN SPECIALISTS IN PLASTIC SURGERY, S.C. (NPI# 1306079298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306079298 |
| Entity Type | Organization |
| Organization Name | NORTHWESTERN SPECIALISTS IN PLASTIC SURGERY, S.C. |
| Practice Address |
676 N Saint Clair St 1525a Chicago IL 60611-2927 |
| Mailing Address |
676 N Saint Clair St 1575 Chicago IL 60611-2927 |
| Practice Telephone | 3122666240 |
| Practice Fax Number | 3122661411 |
| Mailing Telephone | 3122666240 |
| Mailing Fax Number | 3122661411 |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2015-03-09 |
| Authorized Official Name | DR. NEIL FINE (PRESIDENT) |
| Authorized Official Telephone | 3122666240 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 36-049906 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
676 N SAINT CLAIR ST 1525A |
| City | CHICAGO |
| State | IL |
| Zip Code | 60611-2927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285637272 | Alan Ara Boghosian | Dentist | 676 N Saint Clair St, Ste 1773, Chicago, IL 60611-2974 | 2005-05-24 |
| 1720542806 | Lindsey Lemmen | Social Worker | 676 N Saint Clair St, Chicago, IL 60611-2927 | 2019-01-23 |
| 1235633652 | Spencer Ng | Dermatology | 676 N Saint Clair St, Chicago, IL 60611 | 2018-03-20 |
| 1285168229 | Courtney Sperry | Physician Assistant | 676 N Saint Clair St, Suite 800, Chicago, IL 60611-2927 | 2017-04-17 |
| 1255872644 | Amanda Heepke | Nurse Practitioner | 676 N Saint Clair St, Suite 2125, Chicago, IL 60611-2927 | 2017-03-17 |
| 1295271088 | Roger Stupp | Internal Medicine | 676 N Saint Clair St, Suite 2210, Chicago, IL 60611-2927 | 2017-01-17 |
| 1356885099 | Jessica Mckinley | Nurse Practitioner | 676 N Saint Clair St, 9-900, Chicago, IL 60611-2927 | 2016-12-15 |
| 1376087239 | Sarah Hemphill | Social Worker | 676 N Saint Clair St, Chicago, IL 60611-2927 | 2016-12-12 |
| 1356885453 | Anne Kurze | Nurse Practitioner | 676 N Saint Clair St, 940, Chicago, IL 60611-2927 | 2016-12-07 |
| 1124562319 | Carolyn Chiu | Speech-Language Pathologist | 676 N Saint Clair St, Suite 1775, Chicago, IL 60611-2927 | 2016-12-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1245854033 | Danielle Humphrey | Student in an Organized Health Care Education/Training Program | Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 | 2020-06-08 |
| 1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
| 1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
| 1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
| 1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
| 1023668852 | Anne Marguerite Davidson | Student in an Organized Health Care Education/Training Program | Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2019-09-13 |
| 1871141085 | Coast Management | Durable Medical Equipment & Medical Supplies | 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 | 2019-08-30 |
| Find all providers in zip 60611 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821501586 | Plastic Surgery Clinic of Chicago LLC | Plastic Surgery | 850 S Wabash Ave Ste 310, Chicago, IL 60605-3642 | 2017-11-15 |
| 1598123424 | Craig Bradley | Plastic Surgery | 1035 W Rundell Pl, Chicago, IL 60607-2514 | 2016-02-06 |
| 1215346325 | Damian Gress | Plastic Surgery | 943 W 14th Pl, Unit 2 B, Chicago, IL 60608-2287 | 2014-08-04 |
| 1639435993 | Alireza Hamidian Jahromi | Plastic Surgery | 1653 W Congress Pkwy # 769, Chicago, IL 60612-3833 | 2012-04-11 |
| 1326330028 | Kiran Polavarapu Md Sc | Plastic Surgery | 2348 N Lister Ave, 305, Chicago, IL 60614-2994 | 2011-05-12 |
| 1174814412 | Sammy Sinno | Plastic Surgery | 737 N Michigan Ave Ste 1500, Chicago, IL 60611-6653 | 2011-04-20 |
| 1962700062 | David Hill | Plastic Surgery | 100 E Walton St Ste 400, Chicago, IL 60611-1448 | 2011-03-14 |
| 1619279288 | Michael E Schafer | Plastic Surgery | 2225 N Dayton St, Chicago, IL 60614-3611 | 2010-12-02 |
| 1225349350 | Sumanas Wanant Jordan | Plastic Surgery | 675 N Saint Clair St Ste 19-250, Chicago, IL 60611-5964 | 2010-06-23 |
| 1487978235 | Frederick Wang | Plastic Surgery | 5841 S Maryland Ave Mc 6035, Chicago, IL 60637 | 2010-03-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.