Jeffery S Flagg
Plastic and Reconstructive Surgery
1820 Ridge Rd Ste 301
Homewood
, Illinois 60430-1759
Jeffery S Flagg
Plastic and Reconstructive Surgery
1820 Ridge Rd Ste 301
Homewood
, Illinois 60430-1759
(708) 922-1236
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About
Features
Specialties
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Jeffery S Flagg
- 18600 Golf Ln
- Hazel Crest, IL
- Zip : 60429
- Fax : (708) 922-1236
- Phone : (708) 922-1108
Second Address
- Jeffery S Flagg
- 1820 Ridge Rd Ste 301
- Homewood, IL
- Zip : 60430-1759
- Fax : (708) 922-1236
- Phone : (708) 922-1108
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0122X | Plastic and Reconstructive Surgery | IL |
National Provider Identifier
| NPI | 1043388465 |
|---|---|
| Provider Name | Jeffery S Flagg |
| First Address | Hazel Crest, IL 60429 |
| Second Address | Homewood, IL 60430-1759 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/12/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 21623278 | BCBS (01) | IL |
| K26669 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.