MEDICARE: CHICAGO AESTHETIC CENTER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1053259606
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHICAGO AESTHETIC CENTER LLC

Provider Business Mailing Address
First Line	:	2461 N CLYBOURN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-1942
Country	:	US
Telephone Number	:	312-535-2200
Fax Number	:	312-535-2200

Provider Business Practice Location Address
First Line	:	2461 N CLYBOURN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-1942
Country	:	US
Telephone Number	:	312-535-2200
Fax Number	:	312-535-2200

Authorized Official
Title or Position	:	OWNER
Name	:	DR. BRIAN E ROSETT
Credential	:
Telephone Number	:	312-535-2200

Provider Enumeration Date	:	03/24/2026
Last Update Date	:	03/24/2026

Similar Medicare Providers

1316983794 — BONNIE LANE WOELTJEN PA-C
Practice Location Address:

1942 W FULLERTON AVE
CHICAGO, IL
60614-1894

Practice Phone: 847-866-7846
Practice Fax:

1750548897 — DR. BRIAN ELLIOTT ROSETT M.D.
Practice Location Address:

2461 N CLYBOURN AVE
CHICAGO, IL
60614-1942

Practice Phone: 773-957-3077
Practice Fax:

1497647614 — ROSETT PLASTIC SURGERY, LLC
Practice Location Address:

2461 N CLYBOURN AVE
CHICAGO, IL
60614-1942

Practice Phone: 312-535-2200
Practice Fax: 312-766-0966

1407715253 — KRISTA RENEE SNIDER SA-C
Practice Location Address:

2461 N CLYBOURN AVE
CHICAGO, IL
60614-1942

Practice Phone: 312-535-2200
Practice Fax:

1902311731 — NORA VIOLANTE MSW, CADC
Practice Location Address:

1942 N FRANCISCO AVE # 3N
CHICAGO, IL
60647-6008

Practice Phone: 773-610-6059
Practice Fax:

1720167141 — OPHTHALMIC SUPPORT SYTEMS OF CHICAGO
Practice Location Address:

1942 W WOLFRAM ST
CHICAGO, IL
60657-4032

Practice Phone: 773-404-2148
Practice Fax: 773-404-9270

Directions to “CHICAGO AESTHETIC CENTER LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.