Active NPI
Belle Soi Aesthetics LLC
- Family Nurse Practitioner
- Orland Park, IL
National Provider Identifier
1972321586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- BELLE SOI AESTHETICS LLC
- Practice address
- 9953 W 143Rd St
Orland Park, IL 60462-2024 - Phone
- (708) 892-1177
- NPI assigned
- Oct 1, 2024
- Last updated
- Oct 1, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Scott Rusco, DO
- Title
- Medical Director
- Phone
- (708) 892-1177
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NU | Primary |
Addresses
Primary practice location
9953 W 143Rd St
Orland Park, IL 60462-2024
Mailing address
9953 W 143Rd St
Orland Park, IL 60462-2024
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942782016 | Medicaid | IL |
National Provider Directory
National Provider DirectoryLocations
9953 W 143rd St
Orland Park, IL 60462
Phone (708) 364-7780
Practitioners & affiliated clinicians
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727740800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727740800000",
"number": "1972321586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9953 W 143RD ST",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604622024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9953 W 143RD ST",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604622024",
"telephone_number": "708-892-1177"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BELLE SOI AESTHETICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-01",
"last_updated": "2024-10-01",
"certification_date": "2024-10-01",
"status": "A",
"authorized_official_last_name": "RUSCO",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "708-892-1177",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1942782016",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.