NPIMap

Organization Active NPI

Midwest Cosmetic Institute LLC

  • Internal Medicine Physician
  • Des Plaines, IL
National Provider Identifier
1083825574
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MIDWEST COSMETIC INSTITUTE LLC
Practice address
661 Graceland Ave
Des Plaines, IL 60016-4518
Phone
(847) 537-5555
Fax
(847) 537-6005
NPI assigned
May 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Lisa Anderson
Title
Partner
Phone
(847) 537-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X IL Primary

Addresses

Primary practice location

661 Graceland Ave
Des Plaines, IL 60016-4518

Mailing address

609 Academy Dr
Northbrook, IL 60062
Phone (847) 537-5555

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1083825574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 ACADEMY DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "60062",
            "telephone_number": "847-537-5555",
            "fax_number": "847-537-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 GRACELAND AVE",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164518",
            "telephone_number": "847-537-5555",
            "fax_number": "847-537-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST COSMETIC INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "847-537-5555",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.