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ANTI AGING SURGICAL CENTER
NPI 1245466192
Clinic/Center - Ambulatory Surgical in Chicago, IL

Active since June 05, 2009CLIA 14D2155699 · Waiver
3918 W 63RD ST, CHICAGO, IL 60629(773) 284-9660 Get Directions Write a Review

NPPES record last updated: August 6, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Anti Aging Surgical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTI AGING SURGICAL CENTER (NPI 1245466192) is a healthcare organization registered as an ambulatory surgical in Chicago, Illinois and active in the NPI registry since June 2009. The organization holds a CLIA Waiver certificate valid through October 2, 2026 and lists Shanin Moshiri, Medical Director/own, as its authorized official.

NPPES Registry Identity

NPI1245466192
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameANTI AGING SURGICAL CENTER
Location Address3918 W 63RD STChicago, IL 60629-4604
Mailing AddressPo Box 11232Chicago, IL 60611 · (773) 284-9660 · Fax (773) 284-9676
Phone(773) 284-9660
Organization SubpartNo
Authorized OfficialShanin MoshiriMedical Director/own · (773) 284-9660
Enumeration DateJune 5, 2009
Last NPPES UpdateAugust 6, 2015
✔ NPI 1245466192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in IL · 60011238
3918 W 63RD ST, Chicago, IL 60629
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2155699

Anti Aging Surgical Center · Chicago, IL
Active · expires Oct 2, 2026
CLIA Number14D2155699
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 3, 2024
Certificate Expiration DateOctober 2, 2026
Laboratory DirectorAyoub Sayeg M D
Laboratory Phone(773) 284-9660
Laboratory LocationAnti Aging Surgical Center3918 W 63rd St, Chicago, IL 60629
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHICAGO FOOT & ORTHOPEDIC CLINIC, LTD
Clinic/Center (Ambulatory Surgical)
3918 W 63RD ST
CHICAGO, IL 60629
Cook County (773) 284-9660
UNION FOOT CLINIC, LLC
Clinic/Center (Health Service)
3918 W 63RD ST
CHICAGO, IL 60629
Cook County (773) 284-9660
CHICAGO FOOT & ORTHOPEDIC CLINIC
Clinic/Center (Ambulatory Surgical)
3918 W 63RD ST
CHICAGO, IL 60629
Cook County (773) 376-7200
SANTOS CHIROPRACTIC CENTER, LTD
Chiropractor
3918 W 63RD ST
CHICAGO, IL 60629
Cook County (773) 284-9660
MIDWAY COSMETIC INSTITUTE, LLC
Clinic/Center (Health Service)
3918 W 63RD ST
CHICAGO, IL 60629
Cook County (773) 284-9660
63RD MEDICAL & SURGICAL CENTER, LLC
Clinic/Center (Health Service)
3918 W 63RD ST
CHICAGO, IL 60629
Cook County (773) 284-9660

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anti Aging Surgical Center's NPI number?

The NPI number for Anti Aging Surgical Center is 1245466192. It was assigned to this organization in the NPPES registry on June 5, 2009.

Where is Anti Aging Surgical Center located?

Anti Aging Surgical Center is located at 3918 W 63rd St, Chicago, IL 60629. The listed phone number is (773) 284-9660.

What is Anti Aging Surgical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Anti Aging Surgical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2155699) is associated with this NPI, valid through October 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Anti Aging Surgical Center was last updated on August 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.