Midwest Plastic& Reconstructive Surgery
LBN: Midwest Plastic& Reconstructive Surgery
Midwest Plastic& Reconstructive Surgery is an health care organization with primary practice located at 5645 W Addison St , Chicago IL 60634-4403. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is the primary health care specialty.
Midwest Plastic& Reconstructive Surgery can be contacted via phone (847) 729-4879, or through Ostric, Srdjan via phone (312) 375-2076.
Contact Information
Primary practice address
5645 W Addison St
Chicago IL 60634-4403
Phone: (847) 729-4879
Fax: (773) 527-5070
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 036107060 | Illinois |
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2086S0105X | 036107060 | Illinois |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 036107060 | Illinois |
Profile Details
| NPI number | 1316110737 |
|---|---|
| LBN Legal business name | Midwest Plastic& Reconstructive Surgery |
| DBA Doing business as | |
| Authorized official | Ostric, Srdjan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 7th, 2008 |
| Last updated | Jul 21st, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316110737 | NPPES |
| Illinois | MEDICAID | 036-107060 |
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