MIDWAY COSMETIC INSTITUTE LLC NPI 1770983801

NPI Information

NPI: 1770983801
Provider Name: MIDWAY COSMETIC INSTITUTE, LLC

Doing Business As: 63 LASER & SKIN CLINIC

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
3918 W 63RD ST
CHICAGO, IL
ZIP 60629
Phone: (773) 284-9660
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MIDWAY COSMETIC INSTITUTE, LLC is a health service clinic center in Chicago, IL. MIDWAY COSMETIC INSTITUTE, LLC NPI is 1770983801. The provider is registered as an organization entity type.
The provider Is Doing Business As 63 Laser & Skin Clinic.

The provider's business location address is:

3918 W 63RD ST
CHICAGO, IL
ZIP 60629-604
Phone: (773) 284-9660
Fax: (773) 284-9676

The provider's authorized official is Amin Mashouf .
The authorized official title is Manager and has the following contact phone number (773) 284-9660.

The enumeration date for this NPI number is 8/26/2014 and was last updated on 3/10/2015.

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	261QH0100X	Clinic/Center	Health Service			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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