| Organization Name: | CHICAGO AESTHETIC SURGERY INSTITUTE, INC. |
| NPI Number: | 1043561194 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JANINE A PAWLUS (PRACTICE MANAGER) |
| Mailing Address: | 10400 W Higgins Rd Suite 100 Rosemont |
| State: | IL US |
| Postal Code: | 600183705 |
| Phone Number: | 8478539900 |
| Fax Number: | 8472978208 |
| NPI Enumeration Date: | 09/28/2012 |
| NPI Last Update Date: | 09/28/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 336090414 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |