Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northwestern Specialists in Plastic Surgery, SC

Organization Plastic Surgery Physician · NPI 1306079298

Northwestern Specialists in Plastic Surgery, SC provides Plastic Surgery Physician services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2009.

Licensed in
IL
In the registry since
2009

Practice location Address checks out

676 N Saint Clair St 1525A
Chicago, IL 60611-2927 Not confirmed with CMS for 11 years — call before visiting
Phone: (312) 266-6240
Fax: (312) 266-1411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 36-049906 (IL)

Record details

NPI number1306079298
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Neil Fine — President · (312) 266-6240
NPI enumeratedAugust 26, 2009
Last updated in NPPESMarch 9, 2015
Mailing address676 N Saint Clair St, 1575, Chicago, IL 60611-2927

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