Facial Cosmetic & Reconstructive Surgery, Sc
NPI 1417123076 · Oral and Maxillofacial Surgery Clinic/Center · Dunlap, IL
Facial Cosmetic & Reconstructive Surgery, Sc is a Oral and Maxillofacial Surgery Clinic/Center organization in Dunlap, IL (NPI 1417123076).
Provider details
- NPI number
- 1417123076
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Wendy Morrison, Office Manager(309) 243-8980
- License
- 019025195 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-05-05
- Last updated
- 2008-05-05
Frequently asked questions
- What is Facial Cosmetic & Reconstructive Surgery, Sc's NPI number?
- Facial Cosmetic & Reconstructive Surgery, Sc's National Provider Identifier (NPI) is 1417123076, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Facial Cosmetic & Reconstructive Surgery, Sc?
- Facial Cosmetic & Reconstructive Surgery, Sc is classified in the NPPES registry as Oral and Maxillofacial Surgery Clinic/Center (Ambulatory Health Care Facilities).
- Where is Facial Cosmetic & Reconstructive Surgery, Sc located?
- Facial Cosmetic & Reconstructive Surgery, Sc's practice location on file with NPPES is 11825 N Knoxville Ave, Dunlap, IL 61525-8842.
- What is Facial Cosmetic & Reconstructive Surgery, Sc's phone number?
- The practice phone number listed in the NPPES registry for Facial Cosmetic & Reconstructive Surgery, Sc is (309) 243-8980.
- Who is the authorized official for Facial Cosmetic & Reconstructive Surgery, Sc?
- The authorized official listed on Facial Cosmetic & Reconstructive Surgery, Sc's NPPES record is Wendy Morrison, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Facial Cosmetic & Reconstructive Surgery, Sc's NPI active?
- Yes — Facial Cosmetic & Reconstructive Surgery, Sc's NPI (1417123076) is active in the NPPES registry as of the last update on 2008-05-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.