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NPI Code Detail

MEDICARE: THE ART & SCIENCE OF COSMETIC SURGERY

MEDICARE: THE ART & SCIENCE OF COSMETIC SURGERY
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
1208600000XSurgery Physician036133475IL

General Provider Information

NPI Number : 1548783137
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE ART & SCIENCE OF COSMETIC SURGERY
Provider Business Mailing Address
First Line : 3660 N LAKE SHORE DR APT 4101
Second Line :
City : CHICAGO
State : IL
Zip : 60613-5317
Country : US
Telephone Number : 267-879-4268
Fax Number :
Provider Business Practice Location Address
First Line : 3660 N LAKE SHORE DR STE 210
Second Line :
City : CHICAGO
State : IL
Zip : 60613-5302
Country : US
Telephone Number : 312-772-1133
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. CYNTHIA BUONO
Credential : DO
Telephone Number : 312-722-1133
Provider Enumeration Date : 07/25/2017
Last Update Date : 07/25/2017

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Directions to “THE ART & SCIENCE OF COSMETIC SURGERY ” Practice Location

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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.

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