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 is a Plastic Surgery Physician 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
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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