Provider Demographics
NPI:1427247733
Name:OPUS PLASTIC SURGERY LTD.
Entity type:Organization
Organization Name:OPUS PLASTIC SURGERY LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEFAN
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:SZCZERBA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:312-919-1229
Mailing Address - Street 1:1335 W BARRY AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-4211
Mailing Address - Country:US
Mailing Address - Phone:312-919-1229
Mailing Address - Fax:
Practice Address - Street 1:1335 W BARRY AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-4211
Practice Address - Country:US
Practice Address - Phone:312-919-1229
Practice Address - Fax:847-885-1212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-23
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty