Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Aesthetic Institute of Chicago, SC

Organization Plastic and Reconstructive Surgery Physician · NPI 1306074521

Aesthetic Institute of Chicago, SC is a Plastic and Reconstructive Surgery Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2009.

Licensed in
IL
In the registry since
2009

Practice location Address checks out

601 W Randolph St
Chicago, IL 60661-2232
Phone: (312) 258-9100
Fax: (312) 258-1219
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence 036096170 (IL)

Record details

NPI number1306074521
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Braithwaite — President · (312) 258-9100
NPI enumeratedJune 25, 2009
Last updated in NPPESMarch 19, 2010
Mailing address601 W Randolph St, Chicago, IL 60661-2232

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