IndividualActive
Bahram Ghaderi, MD, FACS
NPI 1952497752 · Plastic Surgery Physician · St. Charles, IL
Provider details
- NPI number
- 1952497752
- Entity type
- Individual
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, FACS
- Sex
- Male
- Sole proprietor
- No
- License
- 036096824 (IL)
Practice location
2900 Foxfield Road
Suite 201
St. Charles, IL 60174
Phone: (630) 762-9697
Fax: (630) 762-9721
Mailing address
2900 Foxfield Road
St. Charles, IL 60174
Registry dates
- Enumerated
- 2006-10-05
- Last updated
- 2007-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.