Ashpole Surgery Center LLC

Plastic Surgery Physician · Itasca, IL

Organization Active NPI

NPI number 1063249357

Practice location

1107 N Prospect Ave
Itasca, IL 60143-1408
Phone
(847) 884-8346

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NPI record

NPI
1063249357
Entity type
Organization (Type 2)
Enumeration date
September 19, 2024
Last updated
September 19, 2024
Certified
September 19, 2024
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Plastic Surgery Physician Primary 208200000X — —

Mailing address

1333 W Estate Ln E
Lake Forest, IL 60045-3623
Phone
(847) 650-5818

Authorized official

Name
Bradley Ashpole, MD
Title
CEO
Phone
(847) 650-5818

About Ashpole Surgery Center LLC

Ashpole Surgery Center LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Plastic Surgery Physician (code 208200000X). The practice location is 1107 N Prospect Ave, Itasca, IL 60143-1408. The NPI number 1063249357 was assigned on September 19, 2024 and the record was last updated on September 19, 2024.

The authorized official for this organization is Bradley Ashpole, MD, CEO.

Frequently asked questions

What is the NPI number of Ashpole Surgery Center LLC?

The NPI number is 1063249357.

What is the phone number of Ashpole Surgery Center LLC?

The phone number listed for the practice location is (847) 884-8346.

Where is Ashpole Surgery Center LLC located?

1107 N Prospect Ave, Itasca, IL 60143-1408.

What is the taxonomy code for Ashpole Surgery Center LLC?

The primary taxonomy code is 208200000X – Plastic Surgery Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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