Aesthetic Institute of Chicago, S.C.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

036096170 Issued in IL

Legal business name

AESTHETIC INSTITUTE OF CHICAGO, S.C.

Practice address

601 W Randolph St
Chicago, IL 60661-2232

Phone

(312) 258-9100

Fax

(312) 258-1219

NPI assigned

Jun 25, 2009

Organization subpart

No

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

Authorized official

Name

Brian Michael Braithwaite, M.D.

Title

President

Phone

(312) 258-9100

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268956800000",
    "number": "1306074521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W RANDOLPH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606612232",
            "telephone_number": "312-258-9100",
            "fax_number": "312-258-1219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W RANDOLPH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606612232",
            "telephone_number": "312-258-9100",
            "fax_number": "312-258-1219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC INSTITUTE OF CHICAGO, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-25",
        "last_updated": "2010-03-19",
        "status": "A",
        "authorized_official_last_name": "BRAITHWAITE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-258-9100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "IL",
            "license": "036096170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Aeschliman, LPC
• Aesthetic Dental Solutions, P.C.
• Aesthetic Dental Solutions, P.C.
• Aesthetic Dermatology
• Aesthetic Dermatology Jonith Y Breadon MD LTD
• Aesthetics Unlimited, PLLC
• Af Influx Inc
• Walter P Afable, CP
• Andrew Gumban Afante, DPT
• Jessica Afarin, NP

• Plastic and Reconstructive Surgery Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Plastic and Reconstructive Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.