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PARK RIDGE CENTER FOR PLASTIC SURGERY INC
NPI 1043427826
Clinic/Center in Park Ridge, IL

Active since May 17, 2007CLIA 14D2064591 · Microscopy
444 N. NORTHWEST HWY, PARK RIDGE, IL 60068(847) 696-9900(847) 696-9913 Get Directions Write a Review

NPPES record last updated: April 7, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Park Ridge Center For Plastic Surgery Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PARK RIDGE CENTER FOR PLASTIC SURGERY INC (NPI 1043427826) is a healthcare organization registered as a clinic/center in Park Ridge, Illinois and active in the NPI registry since May 2007. The organization holds a CLIA Microscopy certificate valid through August 21, 2027 and lists Sam Speron, Doctor, as its authorized official.

NPPES Registry Identity

NPI1043427826
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePARK RIDGE CENTER FOR PLASTIC SURGERY INC
Location Address444 N. NORTHWEST HWYPark Ridge, IL 60068
Mailing Address444 N. Northwest HwyPark Ridge, IL 60068 · (847) 696-9900 · Fax (847) 696-9913
Phone(847) 696-9900
Fax(847) 696-9913
Organization SubpartNo
Authorized OfficialSam SperonDoctor · (847) 696-9900
Enumeration DateMay 17, 2007
Last NPPES UpdateApril 7, 2011
✔ NPI 1043427826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in IL · 036093576
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
444 N. NORTHWEST HWY, Park Ridge, IL 60068
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Other Identifiers 3

Medicare ID-Type Unspecified580350IL
Medicare UPINH14201IL
Medicaid036093576IL

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D2064591

Park Ridge Lab · Niles, IL
Active · expires Aug 21, 2027
CLIA Number14D2064591
Laboratory TypePhysician Office
Certificate Effective DateAugust 22, 2025
Certificate Expiration DateAugust 21, 2027
Laboratory DirectorSam Speron M D
Laboratory Phone(847) 696-9900
Laboratory LocationPark Ridge Lab7157 W Howard St, Niles, IL 60714
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Park Ridge Center For Plastic Surgery Inc's NPI number?

The NPI number for Park Ridge Center For Plastic Surgery Inc is 1043427826. It was assigned to this organization in the NPPES registry on May 17, 2007.

Where is Park Ridge Center For Plastic Surgery Inc located?

Park Ridge Center For Plastic Surgery Inc is located at 444 N. Northwest Hwy, Park Ridge, IL 60068. The listed phone number is (847) 696-9900.

What is Park Ridge Center For Plastic Surgery Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Park Ridge Center For Plastic Surgery Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D2064591) is associated with this NPI, valid through August 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Park Ridge Center For Plastic Surgery Inc was last updated on April 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.