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Contact Information

BARIATRIC SPECIALISTS OF ILLINOIS
1625 S STATE ST
BELVIDERE, IL61008-5907
 Phone: 815-544-1360
 Fax: 815-547-5394
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for BARIATRIC SPECIALISTS OF ILLINOIS

NPI # 1740201755
LBN Legal business name BARIATRIC SPECIALISTS OF ILLINOIS
Authorized official LAURENCE LENZ - (EXECUTIVE VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/22/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers
Other 00432012 BCBS PROVIDER NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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