Chicago Center for Anti Aging Inc

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

CHICAGO CENTER FOR ANTI AGING INC

Practice address

950 N Northwest Hwy Ste 102
Park Ridge, IL 60068-2349

Phone

(630) 952-1412

Fax

(630) 952-1447

NPI assigned

Oct 29, 2012

Organization subpart

No

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

Authorized official

Name

Sam Speron, M.D.

Title

President

Phone

(630) 952-1412

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351468800000",
    "number": "1750635868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N NORTHWEST HWY STE 102",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600682349",
            "telephone_number": "630-952-1412",
            "fax_number": "630-952-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N NORTHWEST HWY STE 102",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600682349",
            "telephone_number": "630-952-1412",
            "fax_number": "630-952-1447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO CENTER FOR ANTI AGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-29",
        "last_updated": "2012-10-29",
        "status": "A",
        "authorized_official_last_name": "SPERON",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-952-1412",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Cherny, DMD
• Chester a. Wilk, D.C., P.C.
• Anna Chester
• Pheap Chhorm
• Harrah Chiang, DO
• Chicago Chiropractic Associates LTD
• Chicago Hospice, LLC.
• Chicago Professional Healthcare Services Inc.
• Chicago Surgical Specialists, LLC
• Chicagoland Home Health Provider, Inc.

• Plastic Surgery Physician in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Plastic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; 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.