FENDON PLASTIC SURGERY SC (NPI# 1861585390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861585390 |
| Entity Type | Organization |
| Organization Name | FENDON PLASTIC SURGERY SC |
| Practice Address |
901 Center St Suite 3002 Elgin IL 60120-2104 |
| Practice Telephone | 8475316340 |
| Practice Fax Number | 8475316344 |
| Mailing Telephone | 8475316340 |
| Mailing Fax Number | 8475316344 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2011-09-16 |
| Authorized Official Name | THOMAS H FENDON (PRESIDENT) |
| Authorized Official Telephone | 8475316340 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
036074699 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
901 CENTER ST SUITE 3002 |
| City | ELGIN |
| State | IL |
| Zip Code | 60120-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689674970 | Dhrulata R Shah | Family Medicine | 901 Center St, Suite 203, Elgin, IL 60120-2104 | 2005-07-28 |
| 1659811818 | Bansi Patel | Physician Assistant | 901 Center St, Elgin, IL 60120-2104 | 2017-03-06 |
| 1588057277 | Happy Kids Pediatric Group Inc | Clinic/Center | 901 Center St, Suite 1001, Elgin, IL 60120-2104 | 2015-03-05 |
| 1215334123 | Christine Bodnar-larison | Social Worker | 901 Center St, Elgin, IL 60120-2104 | 2014-11-21 |
| 1568878221 | Tejasi Gholap Md Sc | Pediatrics | 901 Center St, Suite 209, Elgin, IL 60120-2104 | 2014-07-02 |
| 1982972303 | Daksha N.mehta M.d.s.c. | Internal Medicine | 901 Center St, Elgin, IL 60120-2104 | 2011-12-13 |
| 1093021917 | Marius O Mokwe Md.sc. | Internal Medicine | 901 Center St, Suite 203, Elgin, IL 60120-2104 | 2010-08-30 |
| 1497936298 | Linda Bautista | Pharmacy Technician | 901 Center St, Elgin, IL 60120-2104 | 2007-11-20 |
| 1225227127 | Sonal Patel | Pharmacist | 901 Center St, 200, Elgin, IL 60120-2104 | 2007-10-17 |
| 1760560775 | Moshe Zamir | Internal Medicine | 901 Center St, Suite 303, Elgin, IL 60120-2104 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003391749 | Kids Above All | Clinic/Center | United Methodist Church, 651 Lillie Street, Elgin, IL 60120 | 2018-09-28 |
| 1215483979 | Kelly Fetherling | Social Worker | 6912 S Main St., Elgin, IL 60120 | 2016-08-31 |
| 1164870457 | Peter Norton | Pharmacist | 1038 Summit Street, Elgin, IL 60120 | 2016-05-27 |
| 1417316373 | Beverly Brewster | Counselor | 675 Varsity Dr., Elgin, IL 60120 | 2016-02-19 |
| 1407194780 | Well Baby Care PC | Pediatrics | 1185-87 Dundee Avenue, Suite A-2, Elgin, IL 60120 | 2013-01-22 |
| 1740533546 | Vna Health Care | Clinic/Center | 801 Villa Street, Elgin, IL 60120 | 2012-10-18 |
| 1457638934 | Sharon Rose Nemenzo Araneta | Physical Therapist | 795 Summit St, Elgin, IL 60120 | 2011-11-10 |
| 1770866451 | Claudette M Vanhessen | Pharmacist | 815 Summit Street, Elgin, IL 60120 | 2011-09-20 |
| 1083993430 | Monica J. Fudala | Family Medicine | 820 Summit St # B4, Elgin, IL 60120 | 2011-08-16 |
| 1144517830 | Complete Care Medical Center, S.c | Family Medicine | 373 Summit St Ste 100, Elgin, IL 60120 | 2011-07-01 |
| Find all providers in zip 60120 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942245865 | Alan Arps | Surgery | 87 N Airlite St, Suite 160, Elgin, IL 60123-4988 | 2006-06-17 |
| 1891848404 | Alan D Arps PC | Surgery | 87 N Airlite St, Ste 160, Elgin, IL 60123 | 2007-01-18 |
| 1225124910 | Thomas H Fendon | Surgery | 901 Center St, Suite 3002, Elgin, IL 60120-2104 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467074617 | Dewolfe Aesthetic Services Sc | Surgery | 3357 N. Southport Aveune, Chicago, IL 60657 | 2020-05-11 |
| 1578068524 | Jw Operatory | Surgery | 1811 Saint Johns Ave Ste 100, Highland Park, IL 60035-5607 | 2018-03-29 |
| 1780198796 | Lin Plastic and Reconstructive Surgery Inc | Surgery | 730 W Couch Pl Unit 1409, Chicago, IL 60661-1383 | 2017-11-29 |
| 1750892923 | Alban Ingram Miller Jr. | Surgery | 1708 Foxborough Ct, Champaign, IL 61822-8503 | 2017-10-16 |
| 1972905545 | Jennifer Hein | Surgery | 2631 Williamsburg Ave Ste 102, Geneva, IL 60134-1108 | 2014-09-25 |
| 1093139909 | Swedishamerican Hospital | Surgery | 1639 N Alpine Rd Ste 400, Rockford, IL 61107 | 2014-02-12 |
| 1043559842 | Msa Alliance, LLC | Surgery | 1 Broadway Plz, Sparta, IL 62286-1800 | 2013-02-14 |
| 1518223791 | Hansel M Debartolo Jr Md Sc | Surgery | 11 Debartolo Dr., Sugar Grove, IL 60554 | 2012-04-02 |
| 1952692717 | Georgios Kokosis | Surgery | 1725 W Harrison St Ste 425, Chicago, IL 60612-3893 | 2011-04-28 |
| 1740596808 | Swedishamerican Hospital | Surgery | 6533 Lexus Dr, Rockford, IL 61108 | 2010-08-27 |
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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.