Midwest Cosmetic Institute, LLC
Internal Medicine in Grayslake, IL. Organization (NPI-2).
NPI number1114101052
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1114101052
- Entity type
- Organization (NPI-2)
- Legal business name
- Midwest Cosmetic Institute, LLC
- Organization subpart
- Yes
- Enumeration date
- Dec 27, 2007
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | IL | Yes |
Practice location
1862 Belvidere RdGrayslake, IL 60030-2289
Phone 847-223-9494 · Fax 847-205-9722
Mailing address
609 Academy DrNorthbrook, IL 60062-2420
Phone 847-223-9494 · Fax 847-205-9722
Authorized official
Mayer Zayan
Owner/Director
8472239494
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