Aesthetic Surgery Associates

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

36091277 Issued in IL

Legal business name

AESTHETIC SURGERY ASSOCIATES

Doing business as

Center for Cosmetic and Laser Surgery

Practice address

4425 Montgomery Rd Ste 102
Naperville, IL 60564-9542

Phone

(630) 851-3223

Fax

(630) 820-8619

NPI assigned

Apr 6, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bryan W Rubach, MD

Title

President

Phone

(630) 851-3223

Specialties & licenses 1

Addresses

Other names 1

• CENTER FOR COSMETIC AND LASER SURGERY Doing business as

Locations

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982726121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 MONTGOMERY RD STE 102",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605649542",
            "telephone_number": "630-851-3223",
            "fax_number": "630-820-8619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 MONTGOMERY RD STE 102",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605649542",
            "telephone_number": "630-851-3223",
            "fax_number": "630-820-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC SURGERY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUBACH",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-851-3223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IL",
            "license": "36091277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTER FOR COSMETIC AND LASER SURGERY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulatory Surgical Clinic/Center in Naperville, IL
• Providers in Naperville, IL by specialty
• Ambulatory Surgical Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.