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

Midway Cosmetic Institute, LLC

Organization Health Service Clinic/Center · NPI 1770983801

Midway Cosmetic Institute, LLC is a Health Service Clinic/Center in Chicago, Illinois. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3918 W 63rd St
Chicago, IL 60629-4604
Phone: (773) 284-9660
Fax: (773) 284-9676
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Service Clinic/Center (primary) Taxonomy 261QH0100X

Record details

NPI number1770983801
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amin Mashouf — Manager · (773) 284-9660
Other names 63 Laser & Skin Clinic
NPI enumeratedAugust 26, 2014
Last updated in NPPESMarch 10, 2015
Mailing addressPo Box 11232, Chicago, IL 60629-4604

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