Provider Demographics
NPI:1114112554
Name:BARRINGTON PLASTIC SURGERY, LTD
Entity Type:Organization
Organization Name:BARRINGTON PLASTIC SURGERY, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:VINCENT
Authorized Official - Last Name:PELLETIERE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-358-9444
Mailing Address - Street 1:1602 W COLONIAL PKWY
Mailing Address - Street 2:
Mailing Address - City:INVERNESS
Mailing Address - State:IL
Mailing Address - Zip Code:60067-1215
Mailing Address - Country:US
Mailing Address - Phone:847-358-9444
Mailing Address - Fax:
Practice Address - Street 1:1602 W COLONIAL PKWY
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:IL
Practice Address - Zip Code:60067-1215
Practice Address - Country:US
Practice Address - Phone:847-358-9444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-10
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty