DEWOLFE AESTHETIC SERVICES SC


Address: 3357 N. Southport Aveune, Chicago, IL 60657
Phone: 4342848770

DEWOLFE AESTHETIC SERVICES SC (NPI# 1467074617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467074617
Entity Type Organization
Organization Name DEWOLFE AESTHETIC SERVICES SC
Practice Address 3357 N. Southport Aveune
Chicago
IL 60657
Practice Telephone 4342848770
Practice Fax Number 9142064144
Mailing Telephone 4342848770
Mailing Fax Number 9142064144
Enumeration Date 2020-05-11
Last Update Date 2020-05-11
Authorized Official Name JUDITH POLHEMUS (BILLING MANAGER)
Authorized Official Telephone 4342848770
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0122X Surgery
Specialization: Plastic and Reconstructive Surgery
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
DeWolfe Aesthetic Services SC Former Legal Business Name - Organization

Office Location

Street Address 3357 N. SOUTHPORT AVEUNE
City CHICAGO
State IL
Zip Code 60657

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992303887 Simone Paes Behavior Technician 3141 N Sheffield Ave, Chicago, IL 60657 2020-10-13
1821613175 Samridhi Khatri Internal Medicine 836 W. Wellington Ave, Advocate Illinois Masonic Medica, Suite 1312, Chigaco, IL 60657 2020-06-12
1790304657 Mehr Amer Mjeed Student in an Organized Health Care Education/Training Program Advocate Internal Medicine Clinic, Advocate Illinois Ma, 836 West Wellington Avenue, Chicago, IL 60657 2020-04-10
1457997561 Jasleen Mohini Singh Physician Assistant 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 2019-11-24
1306493408 Art of Sight Eyecare, LLC Optometrist 2915 N. Broadway, Chicago, IL 60657 2019-08-22
1992359277 Joseph Michael Rochford IIi Counselor 1358 W Belmont Ave, Unit # 202, Chicago, IL 60657 2019-07-25
1487116240 Conrad Petersen Dermatology Sc Dermatology 2845 N Sheridan, Chicago, IL 60657 2019-04-02
1003388810 Evolve Wellness S.c. Counselor 2845 North Sheridan Road, Suite 708, Chicago, IL 60657 2018-12-19
1639657414 Advocate North Side Health Network Psychiatric Unit 836 W Wellington Ave., Chicago, IL 60657 2018-08-02
1235627332 Chicago Nephrology Associates, LLC Internal Medicine 3023 N Clark St #302, Chicago, IL 60657 2018-04-25
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Taxonomy Information

Taxonomy Code 2086S0122X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Plastic and Reconstructive Surgery

Taxonomy Definition

A surgeon who specializes in plastic and reconstructive surgery.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780198796 Lin Plastic and Reconstructive Surgery Inc Surgery 730 W Couch Pl Unit 1409, Chicago, IL 60661-1383 2017-11-29
1952692717 Georgios Kokosis Surgery 1725 W Harrison St Ste 425, Chicago, IL 60612-3893 2011-04-28
1427229129 David Teplica Surgery 803 W Hutchinson St, Chicago, IL 60613-1616 2008-03-20
1629133459 Mckay Mckinnon Surgery 680 N Lake Shore Dr Ste 1208, Chicago, IL 60611 2006-12-22
1629029426 Arun Gosain Surgery 225 E Chicago Ave # 63, Chicago, IL 60611-2991 2006-05-15
1992790828 Julia Corcoran Surgery 1801 W Taylor St, 3f Occ Mc 741, Chicago, IL 60612-4795 2005-09-16
1306447586 Aesthetics Unlimited, Pllc Surgery 100 E Walton St Ste 400, Chicago, IL 60611-1448 2020-11-04
1558913921 Byungjoon Jeon Surgery 5841 S Maryland Ave, Chicago, IL 60637-1443 2019-07-15
1821563545 Pipeline - Weiss Medical Specialists, LLC Surgery 4646 N Marine Dr, Chicago, IL 60640-5759 2018-10-09
1902390198 Anmol Chattha Surgery 5841 S Maryland Ave # Mc1052, Chicago, IL 60637-1443 2018-06-20
Find all providers in CHICAGO

Competitor

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City CHICAGO
Zip Code 60657

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Dataset Information

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.

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