| Doctor Name: | JEFFERY S FLAGG |
| NPI Number: | 1043388465 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DDS, MD |
| License Number: | |
| Business Practice Address: | 1820 Ridge Rd Ste 301 Homewood, IL - 604301759 |
| Business Phone Number: | 7089221108 |
| Business Fax Number: | 7089221236 |
| Mailing Address: | 18600 Golf Ln, HAZEL CREST |
| State: | IL |
| Postal Code: | 60429 |
| Phone Number: | 7089221108 |
| Fax Number: | 7089221236 |
| NPI Enumeration Date: | 12/01/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0122X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Plastic and Reconstructive Surgery |
| Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |