NORTH SHORE CENTER FOR FACIAL PLASTIC AND COSMETIC SURGERY – NPI #1477851343
Clinic/Center

NORTH SHORE CENTER FOR FACIAL PLASTIC AND COSMETIC SURGERY is an AHC clinic located in NORTHFIELD, IL. NPPES has assigned the NPI number 1477851343 to NORTH SHORE CENTER FOR FACIAL PLASTIC AND COSMETIC SURGERY on March 02, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 11 years ago on Nov 24, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NORTH SHORE CENTER FOR FACIAL PLASTIC AND COSMETIC SURGERY below.

NPI Profile for
NORTH SHORE CENTER FOR FACIAL PLASTIC AND COSMETIC SURGERY

NPI Number
1477851343
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NORTH SHORE CENTER FOR FACIAL PLASTIC AND COSMETIC SURGERY
Primary location
330 W FRONTAGE RD
NORTHFIELD, IL 60093-3467
Phone: (847) 441-4441 Fax: (847) 784-9744
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ANTHONY GEROULIS
MEDICAL DIRECTOR PRESIDENT
Phone: (847) 441-4441
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 IL 036050050

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.