FENDON PLASTIC SURGERY SC – NPI #1861585390
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

Health Care Provider Taxonomy Code for Surgery

FENDON PLASTIC SURGERY SC is a surgeon located in ELGIN, IL. NPPES has assigned the NPI number 1861585390 to FENDON PLASTIC SURGERY SC on October 02, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

The NPI profile was previously updated about 4 years ago on May 26, 2022. 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 FENDON PLASTIC SURGERY SC below.

NPI Profile for
FENDON PLASTIC SURGERY SC

NPI Number
1861585390
Enumeration Date

(more than 19 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
FENDON PLASTIC SURGERY SC
Primary location
1435 N. RANDALL ROAD
SUITE 400
ELGIN, IL 60123
Phone: (847) 531-6340 Fax: (847) 531-6340
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
THOMAS FENDON
PRESIDENT
Phone: (847) 531-6340
Updated
Certification Date
May 26, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (Primary)		 IL 036074699

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.