AESTHETIC SURGERY ASSOCIATES NPI 1982726121

NPI Information

NPI: 1982726121
Provider Name: AESTHETIC SURGERY ASSOCIATES

Doing Business As: CENTER FOR COSMETIC AND LASER SURGERY

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
4425 MONTGOMERY RD STE 102
NAPERVILLE, IL
ZIP 60564
Phone: (630) 851-3223
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AESTHETIC SURGERY ASSOCIATES is an ambulatory surgical clinic center in Naperville, IL. AESTHETIC SURGERY ASSOCIATES NPI is 1982726121. The provider is registered as an organization entity type.
The provider Is Doing Business As Center For Cosmetic And Laser Surgery.

The provider's business location address is:

4425 MONTGOMERY RD STE 102
NAPERVILLE, IL
ZIP 60564-542
Phone: (630) 851-3223
Fax: (630) 820-8619

The provider's authorized official is Bryan W Rubach .
The authorized official title is President and has the following contact phone number (630) 851-3223.

The CLIA number assigned to this NPI record is 14D1063568 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/6/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	36091277	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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