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NORTHERN ILLINOIS PLASTIC SURGERY
NPI 1831137520
Plastic Surgery in Crystal Lake, IL

Active since June 03, 2006
5714 S IL ROUTE 31, SUITE A, CRYSTAL LAKE, IL 60014(815) 356-7000(815) 356-7513 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Northern Illinois Plastic Surgery NPPES

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

NORTHERN ILLINOIS PLASTIC SURGERY (NPI 1831137520) is a healthcare organization registered as a plastic surgery in Crystal Lake, Illinois and active in the NPI registry since June 2006. The organization lists Bradford C. Roberg, President, as its authorized official.

NPPES Registry Identity

NPI1831137520
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameNORTHERN ILLINOIS PLASTIC SURGERY
Location Address5714 S IL ROUTE 31, SUITE ACrystal Lake, IL 60014-4520
Mailing Address8135 N Milwaukee AveNiles, IL 60714-2828 · (847) 967-1149 · Fax (847) 967-8594
Phone(815) 356-7000
Fax(815) 356-7513
Organization SubpartNo
Authorized OfficialBradford C. RobergPresident · (847) 967-1149
Enumeration DateJune 3, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1831137520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
5714 S IL ROUTE 31, Crystal Lake, IL 60014
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Other Identifiers 1

Other00732007IL · Blue Shield Of Illinois

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

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 Northern Illinois Plastic Surgery's NPI number?

The NPI number for Northern Illinois Plastic Surgery is 1831137520. It was assigned to this organization in the NPPES registry on June 3, 2006.

Where is Northern Illinois Plastic Surgery located?

Northern Illinois Plastic Surgery is located at 5714 S Il Route 31 Suite A, Crystal Lake, IL 60014. The listed phone number is (815) 356-7000.

What is Northern Illinois Plastic Surgery's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

When was this NPI record last updated?

The NPPES record for Northern Illinois Plastic Surgery was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.