CHICAGO COSMETIC SURGERY INSTITUTE NPI 1407329501

NPI Information

NPI: 1407329501
Provider Name: CHICAGO COSMETIC SURGERY INSTITUTE
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 14D2151037

Address:
2335 S MICHIGAN AVE
CHICAGO, IL
ZIP 60616
Phone: (312) 502-6200
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CHICAGO COSMETIC SURGERY INSTITUTE is an ambulatory surgical clinic center in Chicago, IL. CHICAGO COSMETIC SURGERY INSTITUTE NPI is 1407329501. The provider is registered as an organization entity type.

The provider's business location address is:

2335 S MICHIGAN AVE
CHICAGO, IL
ZIP 60616-104
Phone: (312) 502-6200

The provider's authorized official is David Shifrin .
The authorized official title is Owner And Medical Director and has the following contact phone number (312) 502-6200.

The CLIA number assigned to this NPI record is 14D2151037 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/10/2019 and was last updated on 1/10/2019.

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			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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