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

Organization Plastic Surgery Physician · NPI 1831137520

Northern Illinois Plastic Surgery is a Plastic Surgery Physician in Crystal Lake, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
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Practice location Address checks out

5714 S Il Route 31 Ste A
Crystal Lake, IL 60014-4520
Phone: (815) 356-7000
Fax: (815) 356-7513
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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 (IL)

Record details

NPI number1831137520
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bradford Roberg — President · (847) 967-1149
NPI enumeratedJune 3, 2006
Last updated in NPPESAugust 22, 2020
Mailing address8135 N Milwaukee Ave, Niles, IL 60714-2828