ANTI AGING SURGICAL CENTER (NPI# 1245466192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245466192 |
| Entity Type | Organization |
| Organization Name | ANTI AGING SURGICAL CENTER |
| Practice Address |
3918 W 63rd St Chicago IL 60629-4604 |
| Mailing Address |
Po Box 11232 Chicago IL 60611 |
| Practice Telephone | 7732849660 |
| Mailing Telephone | 7732849660 |
| Mailing Fax Number | 7732849676 |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2015-08-06 |
| Authorized Official Name | SHANIN MOSHIRI (MEDICAL DIRECTOR/OWN) |
| Authorized Official Telephone | 7732849660 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
60011238 | IL | Ambulatory Health Care Facilities |
| Street Address |
3918 W 63RD ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60629-4604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457891988 | Union Foot Clinic, LLC | Clinic/Center | 3918 W 63rd St, Chicago, IL 60629-4604 | 2017-03-02 |
| 1912447442 | 63rd Medical & Surgical Center, LLC | Clinic/Center | 3918 W 63rd St, Chicago, IL 60629-4604 | 2017-03-02 |
| 1740686344 | Santos Chiropractic Center, Ltd | Chiropractor | 3918 W 63rd St, Chicago, IL 60629-4604 | 2014-11-08 |
| 1770983801 | Midway Cosmetic Institute, LLC | Clinic/Center | 3918 W 63rd St, Chicago, IL 60629-4604 | 2014-08-26 |
| 1245578715 | Chicago Foot & Orthopedic Clinic, Ltd | Clinic/Center | 3918 W 63rd St, Chicago, IL 60629-4604 | 2013-01-17 |
| 1700123734 | Chicago Foot & Orthopedic Clinic | Clinic/Center | 3918 W 63rd St, Chicago, IL 60629-4604 | 2013-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053946392 | T & M Care LLC | In Home Supportive Care | 7230 S Talman, Apt 4, Chicago, IL 60629 | 2020-03-06 |
| 1841847811 | Jacqueline Ann Milton | Technician | 6720 South Keating, Chicago, IL 60629 | 2019-08-23 |
| 1194202085 | Andrea Mosqueda | Counselor | 4217 W 59th St, Chicago, IL 60629 | 2018-07-23 |
| 1316439235 | Saliha Awais | Dentist | 5521 S. Kedzie Ave. Suite 105, Chicago, IL 60629 | 2018-06-06 |
| 1356833255 | Irfana Ilyas | Dentist | 2403,5521 S Kedzie Ave, Suite 105, Chicago, IL 60629 | 2018-06-06 |
| 1427547538 | Holy Cross Hospital | Psychiatric Unit | 2701 West 68th Street, Chicago, IL 60629 | 2018-05-03 |
| 1871003715 | Siddhi Vinayak Dental | Clinic/Center | 5521 S Kedzie Ave, Unit 105, Chicago, IL 60629 | 2017-10-05 |
| 1477092328 | Debra Shepard | Social Worker | 2601 W. Marquette Rd., Catholic Charities, Chicago, IL 60629 | 2017-02-13 |
| 1255777108 | Jacquelyn Jones | Developmental Therapist | 3108 West Marquette Road Apartment 1-b, Chicago, IL 60629 | 2013-05-20 |
| 1124368030 | Claudia Ballesteros | Interpreter | 5631 S. Richmond, Chicago, IL 60629 | 2013-03-01 |
| Find all providers in zip 60629 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487115804 | Ontario Street Operatory Fac | Clinic/Center | 22 W Ontario Street Operatory, Chicago, IL 60654 | 2019-03-28 |
| 1477017333 | Ontario Street Operatory | Clinic/Center | 22 W Ontario St, Chicago, IL 60654-5169 | 2019-01-24 |
| 1407329501 | Chicago Cosmetic Surgery Institute | Clinic/Center | 2335 S Michigan Ave, Chicago, IL 60616-2104 | 2019-01-10 |
| 1720505787 | Midwest Ambulatory Care LLC | Clinic/Center | 1212 N La Salle Dr Ste 100, Chicago, IL 60610-2379 | 2017-08-29 |
| 1447784921 | 1915-25 95th St., LLC | Clinic/Center | 1915 E 95th St, Chicago, IL 60617 | 2017-04-12 |
| 1033652557 | Windy City Surgical Services, LLC | Clinic/Center | 4740 N Cumberland Ave, Chicago, IL 60656-4239 | 2016-12-01 |
| 1548697147 | International Medical and Surgical Institute,sc | Clinic/Center | 2359 N Calfornia Ave, Chicago, IL 60647-2939 | 2013-09-27 |
| 1073813721 | Chicago Foot and Ankle Surgicare, PC | Clinic/Center | 3153 W 111th St, Chicago, IL 60655-2205 | 2010-10-28 |
| 1801106851 | Midwest Medix Surgery Center | Clinic/Center | 8630 S Pulaski Rd, Chicago, IL 60652-3633 | 2010-10-08 |
| 1104066398 | Central Medical Specialists LLC | Clinic/Center | 2715 N Central Ave, Chicago, IL 60639-1351 | 2009-02-27 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.