NORTH SHORE FAMILY PLASTIC SURGERY LLC
NPI 1225619588
Surgery - Plastic and Reconstructive Surgery in Morton Grove, IL

Active since April 19, 2021
9000 WAUKEGAN RD STE 130, MORTON GROVE, IL 60053(847) 820-9122 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 29, 2025, Dec 20, 2021, Dec 13, 2021 and 1 more (4 updates tracked since 2021).

About North Shore Family Plastic Surgery Llc NPPES

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

NORTH SHORE FAMILY PLASTIC SURGERY LLC (NPI 1225619588), doing business as S.a.r.a, is a healthcare organization registered as a plastic and reconstructive surgery in Morton Grove, Illinois and active in the NPI registry since April 2021. The organization lists Sara Dickie, Owner, as its authorized official.

NPPES Registry Identity

NPI1225619588
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameNORTH SHORE FAMILY PLASTIC SURGERY LLC
Location Address9000 WAUKEGAN RD STE 130Morton Grove, IL 60053-2128
Mailing Address9000 Waukegan Rd Ste 130Morton Grove, IL 60053-2128 · (847) 820-9122
Organization SubpartNo
Authorized OfficialSara DickieOwner · (847) 999-7800
Enumeration DateApril 19, 2021
Last NPPES UpdateDecember 29, 20254 updates tracked since enumeration
NPPES CertifiedDecember 29, 2025
✔ NPI 1225619588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition
A surgeon who specializes in plastic and reconstructive surgery.
9000 WAUKEGAN RD STE 130, Morton Grove, IL 60053

Other Names 1

Doing Business AsS.a.r.a

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

North Shore Family Plastic Surgery Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIllinoisEnrollment IDO20220329002581Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to North Shore Family Plastic Surgery LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Plastic and Reconstructive Surgery
NPI 1063659001
9000 WAUKEGAN RD STE 130
Morton Grove, IL 60053
(847) 999-7800
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1992561229
3122 N ASHLAND AVE
Chicago, IL 60657
(847) 663-8060
✔ PECOS✔ Accepts Medicare10.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 North Shore Family Plastic Surgery LLC's NPI number?

The NPI number for North Shore Family Plastic Surgery LLC is 1225619588. It was assigned to this organization in the NPPES registry on April 19, 2021. The provider is doing business as S.A.R.A.

Where is North Shore Family Plastic Surgery LLC located?

North Shore Family Plastic Surgery LLC is located at 9000 Waukegan Rd Ste 130, Morton Grove, IL 60053. The listed phone number is (847) 820-9122.

What is North Shore Family Plastic Surgery LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is North Shore Family Plastic Surgery LLC enrolled in Medicare?

Yes. North Shore Family Plastic Surgery LLC is registered in the Medicare PECOS enrollment system.

When is North Shore Family Plastic Surgery LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Illinois, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through North Shore Family Plastic Surgery LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to North Shore Family Plastic Surgery LLC, in Nurse Practitioner and Plastic and Reconstructive Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for North Shore Family Plastic Surgery LLC was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.