ANTI AGING SURGICAL CENTER is an ambulatory surgical clinic center in Chicago, IL. ANTI AGING SURGICAL CENTER NPI is 1245466192. The provider is registered as an organization entity type.
The provider's business location address is:
3918 W 63RD ST
CHICAGO, IL
ZIP 60629-604
Phone: (773) 284-9660
The provider's authorized official is Shanin Moshiri .
The authorized official title is Medical Director/own and has the following contact phone number (773) 284-9660.
The CLIA number assigned to this NPI record is 14D2155699 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/5/2009 and was last updated on 8/6/2015.