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DEWOLFE AESTHETIC SERVICES SC
NPI 1467074617
Surgery - Plastic and Reconstructive Surgery in Chicago, IL

Active since May 11, 2020
3357 N. SOUTHPORT AVEUNE, CHICAGO, IL 60657(434) 284-8770(914) 206-4144 Get Directions Write a Review

NPPES record last updated: May 11, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dewolfe Aesthetic Services Sc NPPES

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

DEWOLFE AESTHETIC SERVICES SC (NPI 1467074617) is a healthcare organization registered as a plastic and reconstructive surgery in Chicago, Illinois and active in the NPI registry since May 2020. The organization lists Judith Polhemus, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1467074617
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameDEWOLFE AESTHETIC SERVICES SC
Location Address3357 N. SOUTHPORT AVEUNEChicago, IL 60657
Mailing Address3357 N. Southport AveuneChicago, IL 60657 · (434) 284-8770 · Fax (914) 206-4144
Phone(434) 284-8770
Fax(914) 206-4144
Organization SubpartNo
Authorized OfficialJudith PolhemusBilling Manager · (434) 284-8770
Enumeration DateMay 11, 2020
NPPES CertifiedMay 11, 2020
✔ NPI 1467074617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition
A surgeon who specializes in plastic and reconstructive surgery.
3357 N. SOUTHPORT AVEUNE, Chicago, IL 60657
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Other Names 1

Former Legal Business NameDewolfe Aesthetic Services Sc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dewolfe Aesthetic Services Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dewolfe Aesthetic Services Sc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michael Dewolfe, M.D.
Plastic and Reconstructive Surgery
NPI 1538307566
3249 OAK PARK AVE
Berwyn, IL 60402
(708) 783-9100
✔ PECOS✔ Accepts Medicare10 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Dewolfe Aesthetic Services Sc's NPI number?

The NPI number for Dewolfe Aesthetic Services Sc is 1467074617. It was assigned to this organization in the NPPES registry on May 11, 2020.

Where is Dewolfe Aesthetic Services Sc located?

Dewolfe Aesthetic Services Sc is located at 3357 N. Southport Aveune, Chicago, IL 60657. The listed phone number is (434) 284-8770.

What is Dewolfe Aesthetic Services Sc's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Dewolfe Aesthetic Services Sc enrolled in Medicare?

Yes. Dewolfe Aesthetic Services Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dewolfe Aesthetic Services Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Dewolfe Aesthetic Services Sc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dewolfe Aesthetic Services Sc was last updated on May 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.