Northwestern Assoc In Aesthetic Plastic & Craniofacial Surgery Sc

LBN: Northwestern Assoc In Aesthetic Plastic & Craniofacial Surgery Sc
Northwestern Assoc In Aesthetic Plastic & Craniofacial Surgery Sc is an health care organization with primary practice located at 150 E Huron St Suite 825, Chicago IL 60611-2999. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as the primary health care specialty. Northwestern Assoc In Aesthetic Plastic & Craniofacial Surgery Sc can be contacted via phone (312) 335-9155, or through Lewis, Victor Lamar via phone (312) 335-9155.

Contact Information

Primary practice address
150 E Huron St Suite 825 Chicago IL 60611-2999
Fax:
Website:
Authorized official contact:
Name: Lewis, Victor Lamar

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 042004549 Illinois

Profile Details

NPI number 1275748873
LBN Legal business name Northwestern Assoc In Aesthetic Plastic & Craniofacial Surgery Sc
DBA Doing business as
Authorized official Lewis, Victor Lamar
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2007
Last updated Jun 16th, 2009 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275748873 NPPES
Illinois MEDICAID 036042900

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