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Active NPI 1548258288 Individual Practitioner Male Practitioner

Dr. Robert C. Wanless , MD

Plastic Surgery • Belleville, IL

Professional Overview & Biography Verified Profile Summary

Dr. Robert Wanless, MD is a registered healthcare professional specializing in Plastic Surgery in Belleville, IL. Practice services are available at 4600 MEMORIAL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4600 Memorial Dr
Suite 320

Belleville, IL 622265366

Telephone 6182572100
Fax 6182572169
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Belleville, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.5 Yrs
State Avg: 24.3 Yrs
Regional Practice Density
4 Specialists

Practicing in Belleville, IL (236 Statewide)

Telehealth Adoption Rate
25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License IL 036 - 052657

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
036052657 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
Cindy Auld , FNP

Nurse Practitioner - Obstetrics & Gynecology

NPI 1003873647

Family Nurse Practitioner

NPI 1023088903

Doctor of Medicine (M.D.)

NPI 1053675561

Doctor of Medicine (M.D.)

NPI 1245234988

Doctor of Medicine (M.D.)

Dr. Nidal Shawahin , MD

Internal Medicine

NPI 1245236884

Doctor of Medicine (M.D.)

Sarah Pringle , CNP

Advanced Practice Midwife

NPI 1285879882

Certified Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 20, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location March 20, 2014

Registered at 4600 MEMORIAL DR, SUITE 320, BELLEVILLE, IL 622265366 (Tel: 6182572100)

📍
Updated Business Mailing Address March 20, 2014

Registered at 4600 MEMORIAL DR, SUITE 320, BELLEVILLE, IL 622265366 (Tel: 6182572100)

👤
Provider Name / Credentials Updated March 20, 2014

Recorded as ROBERT WANLESS, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2014

Plastic Surgery (License #036 - 052657 in IL)

🟢
Initial NPI Registration & Enumeration October 06, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1548258288
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 06, 2005
Last Update: March 20, 2014
Sole Proprietor: No

Mailing Address

4600 Memorial Dr, Suite 320

Belleville, IL 622265366

Phone: 6182572100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.