Medical Arts Clinic LLC

Primary specialty

AnaplastologistTaxonomy code 229N00000X

Legal business name

MEDICAL ARTS CLINIC LLC

Practice address

620 N la Salle Dr Ste 625
Chicago, IL 60654-3708

Phone

(832) 725-5664

NPI assigned

Jul 10, 2023

Organization subpart

No

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

Authorized official

Name

Eduardo Arias Amezquita, CCA

Title

Anaplastologist /Ocularist

Phone

(832) 725-5664

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

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

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eduardo Arias, CCA

  • Anaplastologist
  • Chicago, IL
  • NPI 1225653330
  NPD

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1669150728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N LA SALLE DR STE 625",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606543708",
            "telephone_number": "832-725-5664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N LA SALLE DR STE 625",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606543708",
            "telephone_number": "832-725-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ARTS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "ARIAS AMEZQUITA",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "ANAPLASTOLOGIST /OCULARIST",
        "authorized_official_telephone_number": "832-725-5664",
        "authorized_official_credential": "CCA"
    },
    "taxonomies": [
        {
            "code": "156FX1700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Ocularist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "229N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anaplastologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anaplastologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Anaplastologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.