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SOUTHWEST AESTHETICS AND BODY SCULPTURE LLC NPI 1609017011


NPI Information

NPI: 1609017011
Provider Name: SOUTHWEST AESTHETICS AND BODY SCULPTURE, LLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
217 VERTIN BLVD
SHOREWOOD, IL
ZIP 60404
Phone: (815) 545-9772
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SOUTHWEST AESTHETICS AND BODY SCULPTURE, LLC is a specialist in Shorewood, IL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SOUTHWEST AESTHETICS AND BODY SCULPTURE, LLC NPI is 1609017011. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

217 VERTIN BLVD
SHOREWOOD, IL
ZIP 60404-783
Phone: (815) 545-9772

The provider's authorized official is Eugene Chiu .
The authorized official title is Manager Member and has the following contact phone number (815) 545-9772.

The enumeration date for this NPI number is 3/13/2009 and was last updated on 2/18/2011.


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
1174400000XSpecialist1371ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1036088162MEDICAIDILLINOIS
2036065985MEDICAIDILLINOIS
3IL2127001MEDICARE PINILLINOIS
4C43293MEDICARE UPINILLINOIS
5IL2127002MEDICARE PINILLINOIS
6IL2127007MEDICARE PINILLINOIS
7P00870409OTHERILLINOISRR MEDICARE PALMETTO GBA
8DQ7598OTHERILLINOISRR MEDICARE PALMETTO GBA
9IL2127006MEDICARE PINILLINOIS
10E85261MEDICARE UPINILLINOIS
11IL2127005MEDICARE PINILLINOIS
12IL2127004MEDICARE PINILLINOIS
13K51606MEDICARE UPINILLINOIS
14G68537MEDICARE UPINILLINOIS
15E10695MEDICARE UPINILLINOIS
16P00870505OTHERILLINOISRR MEDICARE PALMETTO GBA
17G88633MEDICARE UPINILLINOIS
18036087434MEDICAIDILLINOIS
19G30922MEDICARE UPINILLINOIS
20036053917MEDICAIDILLINOIS
21IL2127003MEDICARE PINILLINOIS

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.