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Organization

AESTHETIC INSTITUTE OF CHICAGO, S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN MICHAEL BRAITHWAITE M.D. (PRESIDENT)
(312) 258-9100
Entity
Organization

Contact information

Practice address
601 W RANDOLPH ST, CHICAGO, IL 60661-2232
(312) 258-9100
(312) 258-1219
Mailing address
601 W RANDOLPH ST, CHICAGO, IL 60661-2232
(312) 258-9100
(312) 258-1219

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
036096170
IL

Other

Enumeration date
06/25/2009
Last updated
03/19/2010
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