Dr Bahram Ghaderi, MD, FACS - Plastic Surgery in St. Charles, IL

Dr Bahram Ghaderi, MD, FACS is a Plastic Surgery physician based in St. Charles, Illinois. Dr Bahram Ghaderi is licensed to practice in Illinois (license number 036096824) and his current practice location is 2900 Foxfield Road, Suite 201, St. Charles, Illinois. He can be reached at his office (for appointments etc.) via phone at (630) 762-9697.

NPI number for Dr Bahram Ghaderi is 1952497752 and his current mailing address is 2900 Foxfield Road, Suite 201, St. Charles, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1952497752.

Contact Information

Dr Bahram Ghaderi, MD, FACS
2900 Foxfield Road, Suite 201,
St. Charles, IL 60174
(630) 762-9697
(630) 762-9721



Physician's Profile

Full NameDr Bahram Ghaderi
GenderMale
SpecialityPlastic Surgery
Location2900 Foxfield Road, St. Charles, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1952497752
  • Provider Enumeration Date: 10/05/2006
  • Last Update Date: 09/19/2007

Medical Identifiers

Medical identifiers for Dr Bahram Ghaderi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952497752NPI-NPPES
036096824MedicaidIL
04527510OtherILBCBS IL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208200000XPlastic Surgery 036096824 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Bahram Ghaderi is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Bahram Ghaderi, MD, FACS
2900 Foxfield Road, Suite 201,
St. Charles, IL 60174

Ph: (630) 762-9697
Dr Bahram Ghaderi, MD, FACS
2900 Foxfield Road, Suite 201,
St. Charles, IL 60174

Ph: (630) 762-9697

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Plastic Surgery Doctors in St. Charles, IL


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