FACIAL COSMETIC & RECONSTRUCTIVE SURGERY, SC – Oral and Maxillofacial Surgery Clinic/Center, NPI 1417123076

FACIAL COSMETIC & RECONSTRUCTIVE SURGERY, SC is a healthcare provider. based in Dunlap, Illinois. specializing in Oral and Maxillofacial Surgery Clinic/Center. The organization holds a License No. 019025195 (IL). The NPI Number for FACIAL COSMETIC & RECONSTRUCTIVE SURGERY, SC is 1417123076

Main info

Organization
Name
FACIAL COSMETIC & RECONSTRUCTIVE SURGERY, SC
NPI
1417123076
Phone
(309) 243-8980
Address
11825 N KNOXVILLE AVE
Authorized Official
WENDY CHRISTINE MORRISON OFFICE MANAGER
Enumeration Date
5 May 2008
Last Update Date
5 May 2008
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

Provider Addresses for FACIAL COSMETIC & RECONSTRUCTIVE SURGERY, SC

  • 11825 N KNOXVILLE AVE

    DUNLAP, IL 615258842

    Phone: (309) 243-8980

    Fax: (309) 243-8983

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61525)

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Frequently asked questions

What federal number belongs to FACIAL COSMETIC & RECONSTRUCTIVE SURGERY, SC?
The federal identifier for FACIAL COSMETIC & RECONSTRUCTIVE SURGERY, SC is NPI 1417123076.
Is FACIAL COSMETIC & RECONSTRUCTIVE SURGERY, SC active in the national directory?
FACIAL COSMETIC & RECONSTRUCTIVE SURGERY, SC's public NPI profile is in an active state.
What field does FACIAL COSMETIC & RECONSTRUCTIVE SURGERY, SC work in?
You can think of FACIAL COSMETIC & RECONSTRUCTIVE SURGERY, SC as practicing within Oral and Maxillofacial Surgery Clinic/Center. Clinical services aligned with this taxonomy classification.
What location shows for FACIAL COSMETIC & RECONSTRUCTIVE SURGERY, SC?
We surface Dunlap, Illinois for FACIAL COSMETIC & RECONSTRUCTIVE SURGERY, SC based on available NPPES addresses.
What if Dunlap, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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